Summer Registration Form FollowFollowFollow Please enable JavaScript in your browser to complete this form.Payment must be received in full prior to start of lessons or workshops.Name *FirstLastAge *Instrument(s) *Preferred Lesson Days and Times (please list at least 3): *Lesson Length (please choose one) *30 minutes45 minutes60 minutesNumber of LessonsLocation *WorcesterHoldenClasses / Workshops *Would you like to pre-register for the fall to secure a spot in your teacher’s studio? *YesNo($70 due by June 13 to pre-register – non-refundable)If pre-registering: please list any preferences for fall lesson days/times (this does not guarantee you will get this day/time): Parents Names *Cell Phone *Home PhoneAddress *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeEmail *How did you hear about our school?Have your read and agreed to our Policies? *YesNoHave you read and agree to our Student and Parent Expectations? *YesNoPhoneSubmit