Summer 2019 Registration

Semester Dates: June 2-August 25
Makeup Days: August 30-September 1
Lesson Days: Friday-Sunday

Student Name *
Student Name
Sibling Name (if applicable)
Sibling Name (if applicable)
Parent Name *
Parent Name
Mobile Phone Number *
Mobile Phone Number
Address
Address
Student Date of Birth *
Student Date of Birth
Sibling Date of Birth
Sibling Date of Birth
Emergency Contact
Emergency Contact
Emergency Contact's Phone Number
Emergency Contact's Phone Number
Please read and make sure you agree with DewMusic Studio's Lesson Policy
I have read and agree to the terms and conditions outlined in the Lesson Policy *
After you submit this registration form, someone from DewMusic Studio will contact you via the email address you provided regarding method of payment. If you have any questions or concerns, please email us at dewmusicstudio@gmail.com. Thank you!