Register with Trebal Music

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ONLINE FORM

* Indicates required field

Student Being Enrolled: Name *

First

Last

Email *

Birthday *

Please indicate the Day and Time you are available to meet for Virtual Lessons

Age | Grade Level | T-Shirt Size *

Selecting one of the following Instruments you'd like to Play *

Summer Camp Music Lessons Tutoring

Address *

Line 1

Line 2

City

State

Zip Code

Country

Parent/Guardian Information

Name *

First

Last

Email *

Cell Number *

Home Number *

Emergency Information

Emergency Contact's Name *

Phone Number *

Relationship *

Alt. Phone Number *

If you or the child you are registering have any Food allergies, chronic illness, disabilities, or medical conditions; Please indicate in the description box below. Student will be required to bring a lunch if necessary. (Camp will provide snacks and light refreshments for breakfast). Please state if your child has an IEP.

Describe *

Photography Consent

I give permission and consent to allow photographs to be taken during camp/regular session activities. I further give permission and consent that any such photographs may be published and used by the Trebal Music Program or "All That Drama" to illustrate and promote the Program experience.

Name *

First

Last

Select a Service | You will get an email with instructions for payments after your form is submitted |Pricing is available on our ONLINE STORE tab *

SUMMER CAMP I am interested in group lessons ONLY I Am Intrested in Tutoring ONLY

I agree to receiving marketing and promotional materials *

SUBMIT FORM

Sign-up Below

​ONLINE FORM

ONLINE FORM