ONLINE SCHOOL INSTRUMENTAL MUSIC APPLICATION FORM

This form is a general form for all Children’s Music Workshop schools. Payment is not done online – just registration. Please refer to your school’s orchestra program webpage for mail-in payment information grade/instrument restrictions. (Hit the BACK button to return to that page.)

Please note that class size is limited and acceptance is based on a first come, first served basis. After a class is full, no more applications can be accepted.

Child’s First Name
Child’s Last Name
Email
Address
City
State
Zip
Home Phone
Mobile Phone
Parent’s name
School
Instrument Choice
Not all instruments are offered at all schools. Details on your school’s orchestra page.
Grade
Classroom Teacher Room Number
Level Beginner (first year players with no experience)

Intermediate (second year players with limited experience)

Orchestra (more experienced players)

Getting an Instrument Will order online
I will order online from TheInstrumentPlace.com
All school orders will receive a discounted price and free delivery to school in time for the first day of instruction.

Owns Other

Music Fee In the mail

UCLA Lab CALVERT MICHELTORENA
(No mail or payment required for UCLA Lab, Calvert or Micheltorena students.)

Other

Comments
Terms Conditions I agree to the Terms and Conditions.

Please print a copy of this application form to include with your check before clicking on the “Submit Form” button above.

Don’t forget to click on “SUBMIT FORM”.

TERMS and CONDITIONS

I hereby enroll my child in the school instrumental music program. Learning a instrument is a commitment in which I will support and encourage my child to remember his/her instrument each week and establish a regular practice routine at home. I understand there are no refunds after the third week of classes. A minimum nunber if students is requried to hold a class and cancelled classes due to low enrollment will be issued full refunds. The Instrument Place will also refund any orders cancelled due to cancelled classes. I understand that regular attendance is very important and that three or more unexcused absences may result in my child being dropped from the program.

I also hereby recognize the importance of having a good, quality, working instrument and I understand that my child must have an instrument brand name listed on the approved brands list in order to participate. Inferior quality instruments are not acceptabale for use in the music program.

I also hereby grant to Children’s Music Workshop, its sponsors, organizers, and/or assigns (“CMW”) the irrevocable and unrestricted right to use and publish photographs (including video photography and performance) of my child, or in which my child may be included, for publication, electronic reproductions (web sites) and/or promotional materials or any other purpose and in any manner or medium. In addition, I grant my permission to alter the same without restriction; and to copyright the same. I hereby release the photographer and CMW from all claims and liability relating to said photographs.