Hello 6VibeZ Student!

Before filling out the registration form below, please read and get familiar with the 6VibeZ Regulations*.

*Please note: All lessons are subject to the Cancellation Policy which requires that any cancellation must be made at least 24 hours before the scheduled lesson time. Failure to do so will result in no make-up lesson being provided.

Thank you for becoming a member of our music family!

Registration Form

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Name of Student: *

First

Last

Date of Birth:

mm/dd/YYYY

Instrument choice: *Choose…GuitarUkuleleFluteViolinViolaCelloPianoPercussions/DrumsOther

Lesson type: *

• Private
• Shared
• Ensemble

Enrolled in: *

• 30 minutes
• 45 minutes
• 1 hour

Name of Parent/s: *

If not applicable, type: N/A.

Address (Street, City, Zip): *

Phone: *

Email: *

Payments made per: *

• Month
• Semester

*Please make check payments payable to: 6VibeZ Music Inc.

I hereby grant the 6VibeZ Music Inc. permission to use my/my child’s likeness in a photograph, video, or other digital media in any and all of its publications, including web-based publications, without payment or other consideration: *

• Yes
• No

I have read and agree to the above terms and conditions: *

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Last

Submit