Step 2New Student Registration Student * First Name Last Name Date of Birth * MM DD YYYY Phone * Parent phone number if student is under the age of 18. (###) ### #### Is this a mobile phone that receives text messages? * yes no Email * Please complete this section if student is under the age of 18 Parent or guardian #1 Name of parent who will bring student to lessons most often. First Name Last Name Phone 1 (###) ### #### Is this a mobile phone that receives text messages? yes no Parent or guardian #2 First Name Last Name Phone 2 (###) ### #### Is this a mobile phone that receives text messages? yes no Will anyone else be providing transportation to the student? If so, please share name here. (example: step parent, grandparent, sibling or baby sitter that drives student to drum lessons) First Name Last Name Please answer the following: What school is the student currently attending? Current grade level? Previous experience with drums / percussion / playing music? Is the student receiving a scholarship to assist with the cost of lesson? yes no How did you find out about RL Drum Studio? Please wait one moment for the next page to load. If you are not immediately redirected to the welcome letter page, please click here.
