Music Man Jr. Registration

Thank you for registering for Music Man Jr! We are so excited for this season! Remember that callbacks will be the first day of rehearsal. You will receive an e-mail soon with callback details!

Student Information

Student Name/Last Name *

Student Date of Birth *

Student Phone # *

Student Email *

Student Shirt/Tee Size *

Student Address *

City *

State *

Zip Code *

Parent 1 Information

Parent 1 Name/ Last Name *

Parent 1 Phone # *

Parent 1 Email *

Parent 2 Information

Parent 2 Name/Last Name *

Parent 2 Phone #

Parent 2 Email

Emergency Contact

Emergency contact Name/Last Name *

Emergency Contact Phone #

Additional portal access

List e-mail addresses not included above that you would like to access the portal

First

Last

Additional Email

Additional portal access

First

Last

Select "Submit" to finish your registration. You will be taken to the payment page in the event you would like to make your payment now. Payment is not due until the first rehearsal, and can be done by cash or check in person to avoid fees.

Name