Please complete the form below for Group Lessons

Parent or Guardian

First Name

Last Name

Parent or Guardian Phone

(###)

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Email

Second Parent or Guardian

First Name

Last Name

Second Parent or Guardian Phone

(###)

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Second Parent or Guardian Email

Child's Name

Child's Age

Child's Birthday

Child's Classroom/Teacher

What time does your child normally arrive at school?

Does your child do well with a specific learning style, or respond to certain stimuli, better than others?

Registering for Group Lessons

By clicking, I agree to *Begin a subscription for weekly group lessons at school with a Jenna-G Music, LLC instructor. *Pay $80 by the first day (1st) of each month, for each student receiving weekly 45-minute lessons, for the duration of the subscription. A pro-rated bill may be provided for students beginning lessons in the middle of a month. *Notify Jenna-G Music, LLC by e-mailing JennaGMusic@gmail.com more than 14 days prior to the desired end date when canceling my subscription.

I agree

Photo and Video Release Form

By clicking, I agree: *For photos of the student(s) registering to be used in print and digital advertisement, on the Jenna-G Music, LLC website, and on official Jenna-G Music, LLC social media accounts. *For photos from lessons, within the classroom, to be used in print and digital advertisement, on the Jenna-G Music, LLC website, and on official Jenna-G Music, LLC social media accounts.

I agree

I do NOT agree