Group Classes

LNM offers Before & After School Enrichment Programs

Please fill out the form below for information about each location. A LNM rep will be in touch via email to assist you in completing your registration and/or provide you with more info as requested. Thank you for your interest in LNM!

"*" indicates required fields

Contact Information

Parent Name*

First Last

Full Student Name*

Email*

Phone Number*

Address*

Street Address Address Line 2 City State ZIP Code

Class Information

Lesson Location*

Instrument/Class*

Do you need a rental instrument?*

How did you hear about Learn Now Music?

I want to…*

Any specific information or questions?

If you are registering today, somebody will email you within 48 hours to assist you in completing the registration!

Payment Information

Credit Card Number

CSV Number

3 or 4 digit verification code. Usually on the back of credit card.

Credit Card Type

The following cards are accepted.

Credit Card Expiration Date

Student Information

Are you a returning student?*

Returning Student Information

Will you be playing the same instrument as last session?

How long ago was the last session you took?

I believe that I need book…

Does the student have any allergies?

Specific Allergies

Emergency Contact Phone #*

Emergency Text Message #

How does the student get home?

Please explain how the student will get home

Student Grade Level in School*

Classroom Teacher's Name at School*

Do you agree to ALL terms & conditions of this program?

Captcha

Name

This field is for validation purposes and should be left unchanged.