Student Name *

First Name

Last Name

Will your child be participating in MusicWorks during the 23-24 school year? *

Yes, we can't wait to return!

No, we will not be returning.

Not sure yet, but please keep our space reserved.

Primary Guardian Name 1 *

First Name

Last Name

Primary Guardian 1 Phone *

(###)

###

####

Primary Guardian Name 2

First Name

Last Name

Primary Guardian 2 Phone

(###)

###

####

Best Phone Number *

(###)

###

####

What grade will your child be in during the 2023-24 school year? *

1st

2nd

3rd

4th

5th+

What tuition does your family qualify for?

$20 (Free Lunch Program)

$138 (Reduced Lunch Program)

$276 (No Free/Reduced Lunch Program)