The Music Studio of Warrensburg, LLC Online Registration

Registration

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Welcome to The Music Studio of Warrensburg! Our faculty is eager to help you make music and enjoy the process from day one. We know that you will love the TMSOW difference! Please note that fields marked with an asterisk (*) are required.

* denotes required fields

Referral Information

How did you hear about us?*

Referral Name

Family Information

Family Last Name*

Where do you live?

Home Address*

City*

State*

Zip*

Primary Phone*

Additional Info

Emergency Contact Info (Not Contact #1 or #2)*

Contact #1

Primary Contact (Person Responsible for Account) First Name*

Last Name *

Parent*

How Can We Contact You?

Home Phone *

Cell # *

Portal Access (your email is your login)

Email* (Emails are kept confidential)

Confirm Email*

Portal Account Password

Confirm Portal Account Password

Who is your employer?

Employer*

Employer Phone*

Employer Notes

Contact #2

Alternate Contact First Name

Last Name

Parent

How can we contact you?

Home Phone *

Cell # *

Email* (Emails are kept confidential)

Confirm Email*

Who is your employer?

Employer*

Employer Phone*

Employer Notes

Student #1

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

School*

Grade Level*

Please List Any Known Disabilites. Leave blank if NONE.*

Any Special Needs? Leave blank if NONE.*

Please List Any Known Allergies. Leave blank if NONE.*

Medications that must be brought to studio. Leave blank if NONE.*

You may select the lesson time for the teacher you wish to enroll in lessons with. The final schedule is dependent upon the teacher's availability and we will confirm your registration with you before you begin your lessons. We require payment of one month of lesson fees and our studio registration fee in advance to lock in your lesson time. If you have any questions, please call us at (660) 362-1575 before proceeding!

Enroll in Classes

Select Class

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

School*

Grade Level*

Please List Any Known Disabilites. Leave blank if NONE.*

Any Special Needs? Leave blank if NONE.*

Please List Any Known Allergies. Leave blank if NONE.*

Medications that must be brought to studio. Leave blank if NONE.*

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

School*

Grade Level*

Please List Any Known Disabilites. Leave blank if NONE.*

Any Special Needs? Leave blank if NONE.*

Please List Any Known Allergies. Leave blank if NONE.*

Medications that must be brought to studio. Leave blank if NONE.*

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

School*

Grade Level*

Please List Any Known Disabilites. Leave blank if NONE.*

Any Special Needs? Leave blank if NONE.*

Please List Any Known Allergies. Leave blank if NONE.*

Medications that must be brought to studio. Leave blank if NONE.*

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

School*

Grade Level*

Please List Any Known Disabilites. Leave blank if NONE.*

Any Special Needs? Leave blank if NONE.*

Please List Any Known Allergies. Leave blank if NONE.*

Medications that must be brought to studio. Leave blank if NONE.*

Enroll in Classes

Select Class

Add Another Student

Required Policies

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Questions or Concerns

Comments

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Registration

Referral Information

Family Information

Where do you live?

Additional Info

Contact #1

How Can We Contact You?

Portal Access (your email is your login)

Who is your employer?

Contact #2

How can we contact you?

Who is your employer?

Student #1

Additional Info

Enroll in Classes

Student #2 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #3 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #4 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #5 (Show-Hide Details)

Additional Info

Enroll in Classes

Required Policies (Show-Hide Details)

I Agree to All of the Above

Questions or Concerns

Required Policies

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