NCMC Membership Registration Nantucket Community Music Center Membership Registration Referral Information How did you hear about us? Choose from the listCouponExhibitionFacebookInternet SearchNewspaperParents MagazinePerformanceReferralReturning FamilyWalk-inWebsiteOther Referral Name Family Information Your First Name * First Family Last Name * Last Email * Home Address * Home Address Home Address Home Address City City State/Province State/Province Zip/Postal Zip/Postal Country Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Bulgaria Burkina Faso Burundi Côte d'Ivoire Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Croatia Cuba Curacao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saint Barthelemy Saint Helena, Ascension and Tristan da Cunha Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Dutch part) Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Korea South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Country Home or Primary Phone * Student Information Student's Name * Last Name * Date of Birth * Student's Email T-Shirt Size Choose sizeChild X-SmallChild SmallChild MediumChild LargeAdult SmallAdult MediumAdult LargeAdult X-LargeAdult XX-Large Name of School Grade Choose grade levelKindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade9th Grade10th Grade11th Grade12th GradeCollegeCollege FreshmanCollege SophomoreCollege JuniorCollege SeniorAdult Area(s) of Interest (to select more than one, please press the CTRL key when clicking on each additional item) Choose areas/classes/instruments/instructors of interestAccordionAccordion with AndyBassBass with NigelCelloCello with MollieClarinetClarinet with Nick DaviesClass - Body PercussionFluteGuitarGuitar with AidanGuitar with FloydGuitar with JasonMusic CompositionMusic Composition with Nick DaviesMusic Production with FloydMusic TheoryMusic Theory with DianeMusical Theater PrepMusical Theater Prep with DianePercussionPercussion with FloydPianoPiano with DianePiano with JenniferPiano with Joe HammerPiano with KaeyllanePiano with NigelPipe OrganPipe Organ with IsaiahPipe Organ with JoeRecorderRecorder with MollieRecorder with Nick DaviesRecorder with NigelRecording Studio - Music ProductionSaxophoneSaxophone with RoseTin WhistleTin Whistle with SeanTromboneTrombone with RobertTrumpetTrumpet with KyleUkuleleUkulele with AidanUkulele with MollieViolinViolin with GraemeViolin with JoannaVoiceVoice - Athalyn Sweeney with GretaVoice with Diane LehmanVoice with Dr. Greta FeeneyWoodwinds - BassoonWoodwinds - OboeWoodwinds - Oboe with Ivy Skill Notes Returning Students - please note your preferred time(s) and instructor(s) below: Add Another Student Remove Emergency Contact First Name * First Last Name * Last Phone Number * Relationship to Student Required Policies and Agreements General Policies 56 Centre and its surrounding grounds are a smoke-free environment. Pick-up and drop-off on Academy Lane only. Please no Centre Street curbside drop-offs, per zoning requirements. Use of practice rooms is a privilege extended to our students. Priority is given with advance reservations. General Policies agreement * I've read the above and agree. Attendance Policies Flexibility with attendance is offered when arranged ahead of time with instructors. Students are expected to commit to the agreed on schedule. If a lesson must be missed due to illness or emergency, please notify the instructor or the office. Missed lessons are subject to forfeit. No financial credit for missed lessons unless due to the instructor's absence. Attendance Policies agreement * I've read the above and agree. Payment Policies Payment for tuition, registration, and fees is due upon completion of the registration form and scheduling of the lessons. Please contact the NCMC office for further information on tuition assistance and payments. Any past due invoices will incur a $15 fee each month for payments not received. Any past due amount that is more than 30 days overdue will be automatically charged to the credit card on file. Payment Policies agreement * I've read the above and agree. Additional Information Questions, Comments, Concerns, Instructions, Etc. Review Information Submit