Harmony Road Music School - Bakersfield

Summer Enrollment Form

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Enrollment Form
~Summer Music Classes~


**To enroll your child, print out this page, fill in the information, and send it with the fee to the address below.
Once we've received your registration we will send you a confirmation by email.

Child's name_____________________________ Age____ Parent's name___________________ 

Address________________________________________ 

Zip_____________Phone__________________________

Email (to confirm registration)_______________________________________ 

School Will Attend______________________ Grade________ 

Instruments at home__________________________________ 


How did you hear about us?___________________________ 


COURSE: 

___Junior Music Camp ($125 due) 

___"Intro to Piano" Camp ($100 due) 

___Toddler Classes ($80 due) 


Session:_______ Dates:___________________________    Time:_________

*With the exception of infants who remain in infant seats, siblings are not allowed in any Harmony Road class.  We apologize that we cannot accommodate strollers in our classroom at this time.

**Due to the nature of the program makeup lessons are not available for classes missed. There are no refunds or credits.

Mail this form and fee to:

Harmony Road Music School 
5381 Truxtun Ave. 
Bakersfield, CA 93309