Membership Registration

Nantucket Community Music Center Membership Registration

Referral Information

How did you hear about us?

Referral Name

Family Information

Your First Name *

First

Family Last Name *

Last

Email *

Home Address *

Home Address

City

State/Province

Zip/Postal

Country

Home or Primary Phone *

Student Information

Student's Name *

Last Name *

Date of Birth *

Student's Email

T-Shirt Size

Name of School

Grade

Area(s) of Interest (to select more than one, please press the CTRL key when clicking on each additional item)

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.

Nantucket Community Music Center Membership Registration

Referral Information

Family Information

Student Information

Emergency Contact

Required Policies and Agreements

Additional Information

Review Information