Student Registration 2023-2024

Student Name*
I prefer to take lessons:*
- Online
- On-Site
Is the student fully vaccinated for COVID-19?*
M/F (Please Choose)*
Date of Birth*
MM slash DD slash YYYY
Age
Grade
School
Parent(s) or guardian(s):
Address
Street Address Address Line 2 City State ZIP Code
Email
Parent/Guardian: Home Phone:
Cell Phone:
Alternative Contact: Name:
Phone #:
Relationship:
Who does the youth live with:
Siblings at The Joy of Music School (please indicate instrument):
Does the student have any allergies or use medication?
- Yes
- No
Please list:
Instrument of Choice: 1st
Instrument of Choice: 2nd
Instrument of Choice: 3rd
Do you have an instrument?
- Yes
- No
If so, what kind?
Has the student been previously enrolled at The Joy of Music School?
- Yes
- No
If not, and the student has had previous instrument study, please explain:
Please indicate when the student is available for lessons at The Joy of Music School (please list as many times as possible, both morning and afternoon):
Monday (from time AM to time PM)
Tuesday (from time AM to time PM)
Wednesday (from time AM to time PM)
Thursday (from time AM to time PM)
Friday (from time AM to time PM)
Group Ensembles or Classes: Please indicate 1 for first choice; 2 for second; and 3 for third (group ensemble/class availability is not guaranteed):
Choir (8-12)
Recording Class (13-18)
General Music (6-7)
Baritone Ukulele Class (9-10)
Jam Band (13-)
SCHOLARSHIP APPLICATION
All Joy of Music School students are on full scholarships. Lessons and classes are free. You are required to complete this form and provide the requested documents in order to be considered for admission. The guidelines for admission are identical to the Federal Child Nutrition Program Income Guidelines for Reduced Price Meals.
Household Size: Two Persons. Annual Gross Income $36,482 or less.
Household Size: Three Persons. Annual Gross Income $45,991 or less.
Household Size: Four Persons. Annual Gross Income $55,500 or less.
Household Size: Five Persons. Annual Gross Income $65,009 or less.
Household Size: Six Persons. Annual Gross Income $74,518 or less.
Household Size: Seven Persons. Annual Gross Income $84,027 or less.
Household Size: Eight Persons. Annual Gross Income $93,536 or less. For each additional household individual beyond eight, add $9,509.
Parent or Guardian Information
Father’s Name
Home Address If Different
Street Address Address Line 2 City State ZIP Code
Occupation
Employer’s Name and Address:
Business Phone
Mother's Name
Home Address (if different)
Street Address Address Line 2 City State ZIP Code
Occupation
Employer’s Name and Address
Business Phone
Financial Information
◆ Please provide Total Adjusted Gross Income for the last calendar year:
Father $
Mother $
Student $
Miscellaneous $
Total Adjusted Gross Income $
Number of people in household supported with this income
Describe any unusual expenses or if income has changed dramatically, which might determine need.
Documents: We will require your most recent Federal 1040 Form or proof of assistance, your Student Statement Form, and a Teacher Recommendation (suggested, but not required) before the student's registration is considered complete. They will be requested via an email from JoMS staff.
I declare that I have completed this form, and to the best of my knowledge I believe it to be true, correct and complete.*
- Yes
PLEASE TYPE NAME
Date
MM slash DD slash YYYY
Ready to Submit
Please check your entries above for accuracy before submitting. NOTE: When you click "Submit" you will be redirected back to the Registration page to complete other forms. If you are enrolling more than one child, then after you submit this form, click again on the "Student Registration" button (purple) to register another child.