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317 Main Community Music Center
Student Registration Form: Spring Session 2021

Thank you for your interest in a lesson, class, or ensemble at 317 Main Community Music Center! Please fill out the following form as thoroughly as possible. The registrar will be in contact to confirm your information. 

Please note: this is a preregistration form and does not guarantee an automatic placement of class or lesson. However, we will do our very best to accommodate you! 

For further questions, please contact the registrar at registrar@317main.org 

Contact Information

First Name
Last Name

First Name
Last Name

(mm/dd/yyyy)

Current students are anyone who has been a student and/or camper in the last year.
*



Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
Country






"Semi-private" is two same-level students brought by you

*
I give permission to use photos of me/my child for promotional purposes. I understand that I may change this permission at any time. Our marketing and communications team will ask for confirmation before every photo or video interaction.
*
I have read and agree to 317 Main's payment procedures and cancellation policy AND our COVID Safety Policy listed online at our website.