Program Enrollment Form - Squam Ridge School of Music

Please provide your information

Who is Completing the Form?I am an adult enrolling myself.I am a parent/guardian enrolling my child.I am an adult enrolling on behalf of another adult with their consent.

First Name

Last Name

Email Address

Phone

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal code

Student Information

Student Name

Student Preferred Name

Student Birth Date

Student Email Address

Student Phone

Student Previous Experience

Relevant Medical Information

Enrollment Details

I am enrolling in… *Adult Music Theory Class (online)Children’s ChoirYouth Music Theory Class

Tuition & Payment

Payment Information & Policies

Tuition is due by the first class of the semester.

Accepted payment methods:

Cash, Check, Venmo, Wise, Stripe (card payment), PayPal

Payments made through third-party payment processors are subject to a 3% processing fee. This fee is not charged for payments made by cash, check, or other fee-free payment methods.

You will receive an invoice after we receive and verify your enrollment form. Your payment is due by the first scheduled class of the semester. Once payment is received, we will send you a receipt and your slot will be reserved.*