Piano Teacher with kids exploring the Trumpet

2010-2011 Dance Year Enrollment Form

To enroll in classes for the 2010-2011 Dance Year (September 7, 2009 through June, 13, 2011), begin by completing the form below. You can review our current schedule here. We will call or email you within a few days with payment options, further scheduling information, or just to answer any questions you may have.

PLEASE NOTE: If the class you want is at the wrong time for you, please let us know your schedule needs by completing the "Additional Schedule Information" section of the form below. We appreciate your feedback!

Note that you may make online payments via eCheck, at https://www.musicplace.com/register/eCheckForm.php at any time.

Parent/Family Information:

* First Name:

* Last Name:

* Best Contact Phone:

* Email:

* Street Address:

Apt #, PO Box, Etc:

* City:

* Zip Code:

If you were referred by an existing Music Place family, please enter their name & contact info (phone or email) here. This will ensure that they receive their $20 referral "Thank You" gift.

Referred by?

Student & Class Information:

Same As Above?

That's Me! (I'm an adult.)

* Student First:

* Student Last:

* Date of Birth:

Please enroll this Student in the following class:

* Class Name:

* Day:

* Time:

Additional Student or Class?

Student First:

Student Last:

Date of Birth:

Please enroll this Student in the following class:

Class Name:

Day:

Time:

Additional Student or Class?

Student First:

Student Last:

Date of Birth:

Please enroll this Student in the following class:

Class Name:

Day:

Time:

Additional Schedule Information:

Until classes fill up and are confirmed, schedules are subject to change. To help us accomodate as many students as possible, please include additional schedule/availability information below.

Also Interested In:

Best Days & Times:

Other Possibilities?:

Days/Times that would NOT work:

Special request or additional information about enrolled children, etc:

Please note: Completing enrollment is a 3 step process:

Complete the online registration form, above,
Complete the Release of liability form, and
Complete the photo release form,

and we will contact you with financial details to finalize your enrollment. Thanks!!!

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Last Modified: 2010.07.28

Actual Customer Testimonials:

"We have recommended to many of our friends. We love the place. It has totally helped our daughter to not only know the notes but to truly have fun with them! We love the teacher(s) and wish them all the very best. - " -- Happy parents

"Our daughter, Melissa, loves her music class, and she looks forward to the recitals. She's made friends and become more confident. We'd recommend the Music Place to anyone. -- Melissa's parents, Kathy & Matt, Los Gatos" .

I tell everyone who will listen about the amazing introduction to music that our daughter is getting with the Music Place. People are always amazed when a 3-year old explains that she played an oboe last week and is going to play a piccolo next week! Most importantly, our daughter can't wait for music class & asks to go every day. -- The Pace Family