Student Registration 2020-2021

Student Registration 2020–2021

Student Name*
M/F (Please Choose)*
Date of Birth*
Date Format: MM slash DD slash YYYY
Age
Grade
School
Parent(s) or guardian(s):
Address
Street Address Address Line 2 City State ZIP Code
Email
Parent/Guardian: Home Phone:
Cell Phone:
Alternative Contact: Name:
Phone #:
Relationship:
Who does the youth live with:
Siblings at The Joy of Music School (please indicate instrument):
Does the student have any allergies or use medication?
- Yes
- No
Please list:
Instrument of Choice: 1st
Instrument of Choice: 2nd
Instrument of Choice: 3rd
Do you have an instrument?
- Yes
- No
If so, what kind?
Has the student been previously enrolled at The Joy of Music School?
- Yes
- No
If not, and the student has had previous instrument study, please explain:
Please indicate when the student is available for lessons at The Joy of Music School (please list as many times as possible, both morning and afternoon):
Monday (from time AM to time PM)
Tuesday (from time AM to time PM)
Wednesday (from time AM to time PM)
Thursday (from time AM to time PM)
Friday (from time AM to time PM)
Group Ensembles or Classes: Please indicate 1 for first choice; 2 for second; and 3 for third (group ensemble/class availability is not guaranteed):
Choir (8-12)
Recording Class (13-18)
General Music (6-7)
Baritone Ukulele Class (9-10)
Jam Band (13-)
SCHOLARSHIP APPLICATION
Applicants for financial aid are required to complete this form and provide the requested attachments. Aid is awarded based on a combination of need and merit. An audition may be required at the discretion of the Scholarship Committee.
Parent or Guardian Information
Father’s Name
Home Address If Different
Street Address Address Line 2 City State ZIP Code
Occupation
Employer’s Name and Address:
Business Phone
Mother's Name
Home Address (if different)
Street Address Address Line 2 City State ZIP Code
Occupation
Employer’s Name and Address
Business Phone
Financial Information
◆ Please provide Total Adjusted Gross Income for 2019:
Father $
Mother $
Student $
Miscellaneous $
Total Adjusted Gross Income $
Number of people in household supported with this income
Describe any unusual expenses or if income has changed dramatically, which might determine need.
Attachments ◆ Please provide the following:
*Most recent Federal 1040 Form or proof of assistance.

*Joy of Music Registration and Lesson Policies Form

*Student Statement Form

*Teacher Recommendation (suggested, but not required)
I declare that I have completed this form, and to the best of my knowledge I believe it to be true, correct and complete.
- Yes
Signature of Parent or Guardian
PLEASE TYPE NAME
Date
Date Format: MM slash DD slash YYYY

Student Registration 2020–2021

Please indicate when the student is available for lessons at The Joy of Music School (please list as many times as possible, both morning and afternoon):

Group Ensembles or Classes: Please indicate 1 for first choice; 2 for second; and 3 for third (group ensemble/class availability is not guaranteed):

SCHOLARSHIP APPLICATION

Parent or Guardian Information

Financial Information

Attachments ◆ Please provide the following: