Registration for SPRING 2017 INSTRUMENT Classes

Classes on Monday and Wednesday evenings

Student Name *
Student Name
Student's Gender Pronouns
Student Home Address
Student Home Address
Primary Guardian Name *
Primary Guardian Name
Primary Guardian Phone Number *
Primary Guardian Phone Number
Secondary Guardian Name *
Secondary Guardian Name
Secondary Guardian Phone Number
Secondary Guardian Phone Number
Which classes would you like to register for? *
Do you also want to register for an ELM class? If so, choose from below
Bushwick School for Music, like all programs from We Make Noise, is offered for a sliding-scale suggested donation. We Make Noise has never turned away a student due to financial need, and donations from those who are able to support us are a huge part of what makes this possible. So give what you can—even if that's $0.
$
If you choose Paypal, you can click the Donate button on the next page after submitting this form.
THE FOLLOWING QUESTIONS ARE ENTIRELY OPTIONAL AND CONFIDENTIAL, AND WILL NOT AFFECT YOUR REGISTRATION IN ANY WAY. Some of our funders request demographic information about our students.
How would you describe your family's annual income?
I understand that by submitting this form, I (a parent/guardian over the age of 18) am giving my student permission to participate in music classes at The Silent Barn. I also understand that my student will be eligible to join performing and visual art classes from Educated Little Monsters. *

Don't forget to donate here after you complete registration!