Chamber Encounters, Inc. - 2023-24 Registration Form: Chamber Encounters Music Academy (New)

2023-24 Registration Form: Chamber Encounters Music Academy (New)

New families and students, please complete the form below to register for our programs for the 2023-24 school year.

DO NOT COMPLETE if you are returning. Please complete a form here and we will update your Teachworks account: https://forms.gle/V7dRFhHhzS6AaucG6

Any questions? Please visit our website at baltimorebows.com, or email us at [email protected].

Fees can incur through the following:
1. $50 registration fee
2. $25 fee for any returned checks, per refund policy
3. $30 administration and processing for refunds during the spring, per refund policy

First Name

Last Name

Mobile Phone

Credit Card Details

Cardholder Name

Card number

Credit cards on file are set to charge 1 day after the invoice due date. This is not applicable to different billing preferences.

Billing Preference

Address

Address Line 2

City

State

Zip

Student

First Name

Last Name

Program (Check ALL that apply)

Private Lesson Length

Instrument

Instrument Serial # (Mark N/A if own)

Important allergy/medical information

Photo Permission

I allow Chamber Encounters Music Academy to take photos/videos of my child to be used in promotional materials

Birth Date

School

Grade

Add Fields for Additional Student