Registeration form

Once your child is registered, please submit the registration form below or download a PDF and submit prior to the first class.

Student's Name

First Name

Last Name

Date of birth:

School (if any):

I registered my child for the following class

Comments:

Section

There is a one-time registration fee of $40 for new students. | A TRIAL CLASS is available UPON REQUEST for $30.00.

I understand and accept the terms and conditions.

Yes

Home Address:

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Emergency Contact (Name, Phone):

E-mail:

Section 1

Please provide the most updated email address as Hug Music sends important information, notification, receipts etc. via email.

Parent or guardian 1 Name:

Phone:

Work

Cell

Phone number:

Parent or guardian 2 Name:

Phone:

Work

Cell

Phone number:

I would like to receive reminders, notifications, invoice, and receipts etc. via text message

I give permission to Hug Music, Inc for my child’s photograph and/or visual/audio-recording for research, educational purpose, website, and publications.

Understanding:

I hereby certify that I am the parent or legal guardian of the listed student above, a minor, to participate in Hug Music, Inc. and all its programs and activities. I acknowledge that using the facility and participating in the activities may involve certain risks, including the risk of personal injury. I agree, personally and on behalf of the child named above to assume all such risks involved in using the facility and participating in the activities at Hug Music, Inc. I hereby agree to reimburse Hug Music, Inc for any property damage caused by the student listed above. I understand it is my or my caregiver’s responsibility to be in full control of my child’s behavior, in order to provide a safe and productive environment for all students and teachers. I understand that my child’s records (contacts, phone numbers, emails, and authorized pick-ups) are my responsibility to keep current and accurate. I will update my child’s records whenever there is a change.

Electronic Signature

My electronic signature indicates that I have read and understand Hug Music’s school policy and accept responsibility for all charges and fees that may be incurred. I, [ (Parent/guardian name) ] hereby grant permission for [ (Student’s name) ]to participate music programs at Hug Music, Inc. Parent/ Legal guardian’s Signature

I understand and accept the terms and conditions.

Please type your name: