Parent Registration Form

Parent Name*

First Last

Student Name*

First Last

Parent's Phone Number*

Parent's Email Address*

Where does your child currently attend school?*

Has your child ever participated in the Music in the Village program?*

How long has your child participated in Music in the Village?*

Is your child enrolled in the It Takes A Village Program?*

Participation in It Takes a Village is not required to join Music in the Village.

If yes, what did your child study?*

For example: Guitar, Piano, Recorder, Percussion, Song Writing

What class would you like to take this semester?*

Group Piano Guitar Drums/Percussion Song Writing

Does your child have access to a computer or smart phone?