Welcome to our Hip-Hop Music Program!
Please complete this form to register for our exciting and engaging Hip-Hop Music classes.
First Name
Last Name
Preferred Name
Date of Birth
Age
Gender
Street Address
City/Suburb
State/Province
Postal/Zip Code
Phone Number
Email Address
Emergency Contact Name
Emergency Contact Phone
Emergency Contact Relationship
First Name
Last Name
Phone Number
Email Address
Relationship to Student
Desired Class: (Please check all that apply)
Class Name | Check if apply | Tuition Fee ($) | Amount ($) | ||
|---|---|---|---|---|---|
A | B | C | D | ||
1 | Beginner Hip-Hop | $200.00 | $0.00 | ||
2 | Intermediate Hip-Hop | $300.00 | $0.00 | ||
3 | Advanced Hip-Hop | $400.00 | $0.00 | ||
4 | Hip-Hop Dance | $300.00 | $0.00 | ||
5 | Hip-Hop Music Production | $500.00 | $0.00 | ||
6 | Total | $0.00 |
Preferred Day(s) of the Week: (Please check all that apply)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Preferred Time(s) of Day: (Please check all that apply)
Morning
Afternoon
Evening
Previous Experience (if any)
What are your goals for this class?
Does the student have any allergies or medical conditions we should be aware of?
If yes, please explain.
Does the student require any special accommodations?
If yes, please explain.
Total Tuition Fee
Payment Method
Online Payment
Cash
Check
Bank Transfer
I understand and agree that [Your Organization/Studio Name] is not liable for any injuries or loss of personal property that may occur during classes or related activities. I hereby release [Your Organization/Studio Name], its instructors, and staff from any and all liability. I also consent to the use of photographs and/or videos of the student for promotional purposes.
Parent/Guardian Signature (if student is under 18)
Student Signature (if 18 or older)
Thank you for registering! We look forward to seeing you in class!
Registration Template Insight
Please remove this registration form template section before publishing.
This Hip-Hop Music Class Registration Form is designed to collect essential information from students (or their parents/guardians) who wish to enroll in hip-hop music classes. Let's break down the different sections and their purpose:
1. Student Information: This section gathers basic details about the student, including their name, age, contact information, and emergency contact details. This is crucial for communication, identification, and ensuring the student's safety.
2. Parent/Guardian Information: If the student is under 18, this section collects information about their parent or guardian. This is important for consent, communication, and responsibility for the student's well-being.
3. Class Selection: This section allows the student to choose the specific hip-hop music classes they are interested in (e.g., beginner, intermediate, dance, production). It also asks about preferred days and times to help with scheduling and placement. Asking about previous experience and goals helps instructors tailor their teaching to the students' needs and aspirations.
4. Medical Information: This section is vital for the student's safety. It asks about allergies, medical conditions, and any special accommodations needed. This information allows instructors to be prepared for potential medical situations and ensure an inclusive learning environment.
5. Payment Information: This section collects information about tuition fees and payment methods. This is essential for the business side of running the classes. Offering different payment options makes it more convenient for families.
6. Waiver and Release: This is a legal section where the student (or parent/guardian) acknowledges the risks associated with participating in the classes and releases the organization from liability for injuries or loss of property. It often includes a consent for the use of photos/videos for promotional purposes. This section is crucial for protecting the organization.
7. Contact Information: This provides contact details for the organization, making it easy for students and parents to reach out with questions or concerns.
Overall Insights:
To configure an element, select it on the form.