STEP ONE: COMPLETE REGISTRATION FORM

Student Name *
Student Name
Which days/times work best for your student? (Lessons & Ensembles Only)
Full Name of Parent / Guardian (1) *
Full Name of Parent / Guardian (1)
Full Name of Parent / Guardian (2)
Full Name of Parent / Guardian (2)
Home Mailing Address *
Home Mailing Address
Primary Phone *
Primary Phone
Secondary Phone *
Secondary Phone
Work Phone
Work Phone
Emergency Contact Name *
Emergency Contact Name
Emergency Contact Phone *
Emergency Contact Phone
Music/Photo/Video Release *
I hereby release the use of music, photographic and video images and work product of the above participant for the purpose of promotion and display to the general public.
MAMM Policies *
I, the parent or legal guardian of the above named child, have read the MAMM policies with my child (participant). Both I and my child (participant) understand and agree to these policies.

By clicking SUBMIT you will be brought to MAMM's Membership page where you can learn more about our various membership perks and pay the required annual membership fee.