Are you interested in our Homeschool Friends Music Groups? Participant's Name * First Name Last Name Parent Email * Student Email if your student does not have an email address you may skip this section Preferred Phone * (###) ### #### Address * Student or primary parent's home address Address 1 Address 2 City State/Province Zip/Postal Code Country Age Group * Toddler & PreK Early Elementary Age 5-7 Upper Elementary Age 8-12 Middle & High Ages 13-17 18 still in high school Are you currently. a private student. Ms. Lynn? * yes no not sure Agreement to follow rules * Do you agree to follow the class rules, which include having respect for the facility in use as well as for each other? yes no Materials Cost * There is no cost for these music groups, however if your student intentionally breaks one of our instruments, or any of the facility materials you could be charged for this. Do you agree to pay for materials damaged due to misuse or disrespect of equipment? yes no Date MM DD YYYY Agree to Submit * Please type your full name to indicate you have reviewed the above information and all is correct. Thanks for registering for Ms. Lynn’s music groups. I look forward to working with you to achieve your musical goals!
