Music Matters: Be Heard!

3 Easy Ways to Register!

Complete Online Form Below
Phone In Your Registration 770-650-6550
Register In Person at any Music Matters location

The registration fee per week-long session is $399. Please be aware that you may register for multiple sessions by selecting the specific weeks below.


Personal Information

Parent Name

Student Name

Address Line 1

Address Line 2

City

State

Zip Code

Home Phone with Area Code

Gender	Male Female

Email Address

Date of Birth

Are you currently taking lessons at Music Matters?	Yes No

Instructor's Name

Instrument(s) You Play

How did you hear of us?


Camp Session Dates

Please check session date(s) you would like to have your child attend. Please select at least one session:

Session 1: 6/2/08 - 6/6/08 Roswell High School, Roswell: $399
Session 2: 6/9/08 - 6/13/08 Roswell High School, Roswell: $399
Session 3: 6/16/08 - 6/20/08 Roswell High School, Roswell:$399
Session 4: 6/23/08 - 6/27/08 Roswell High School, Roswell:$399


Payment

Credit Card Type	VISA MasterCard Discover American Express

Credit Card Number

CVV/Security Code

Expiration Date (mm/dd/yr)

Name on Card

Address of Card Holder

City

State

Zip Code