Adult Registration

The $40 registration fee is charged on an annual basis and covers all family members enrolled at Bay Chamber Music School. You will see the $40 Registration Fee applied to your order in your cart at check out.

To register another family member, click the "Click Here" button at the top of the Shopping Cart page to select either Adult Registration form or Child Registration form.

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Student Information

First Name:

Last Name:

Gender:

Date of Birth:

Instrument:

Length of time played:

Current music teacher:

Student Information

Primary Phone Number:

Primary Email for all class communication:

Emergency Contact Information

Emergency Contact Name:

Emergency Contact Phone: Please provide any notes for us:

Medical Information

Physician Name:

Physician Phone Number:

Are there any accommodations that Bay Chamber can make to support your learning experience?

Waiver

MEDIA RELEASE: Unless informed otherwise in writing, Bay Chamber Concerts and Music School may use student photos, video footage and student quotes in print and electronic publications, on social media, and in media coverage of Bay Chamber Concerts and Music School programs. I acknowledge that Bay Chamber Concerts and Music School takes cautionary steps to provide minimum identifying information.

Yes I understand and accept the above Media Waiver.

MEDICAL WAIVER: In the event of serious illness or injury, I authorize the staff of Bay Chamber Concerts and Music School to act as my agent in obtaining medical care. I understand that my emergency contact person will be contacted using the information I have provided above.

Yes I understand and accept the Medical Waiver.

How did you hear about this class?:

Would you be willing to volunteer at Music School events or provide occasional administrative support?

I have read, understand, and accept all of the Bay Chamber Concerts and Music School Class Policies and Procedures and am aware that they are strictly upheld by Bay Chamber Concerts and Music School.

Yes I agree.

Available Sections

Registration Fee $0.00

Registration Fee $0.00

Student Information

Student Information

Emergency Contact Information

Medical Information

Waiver

Item details

Date

Purchase items

Available Sections

Quantity

Registration Fee $0.00

Quantity

Registration Fee $0.00

Additional items

Student Information

Student Information

Emergency Contact Information

Medical Information

Waiver