SY22-23 Registration/Re-Enrollment Form

Application Screening Questions

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Returning Students
Welcome back! Kidznotes is excited to have you involved in the program another year!
Welcome to the Kidznotes! We are excited to have become a part of our community. 
NEW STUDENTS: Older Beginners
Welcome to the Kidznotes family! We look forward to having you join our community.
Thanks for your interest in the Kidznotes Program!
At this time, we are only registering students who have previously participated in the Kidznotes program, students in grades 3-5 for our Older Beginners program, or recruited students who already have instrumental music experience.
The Mozart Program will begin in mid-October of the 22-23 school year. Mozart registration will occur in the fall, and the application process will be facilitated in partnership with the general music teachers at our partner schools.

Please follow us on social media and check the website for updates in August!

Instagram: @kidz_notes

Questions? Please contact

Student & Family Information

If you would like to re-enroll more than one student, please complete a separate form for each student.
Questions? Contact: 
Student Information

Lunch number

If other, write your student's ethnicity here:

Age by September 14, 2022

Grade in the 22/23 School Year

School attending in 2022-2023. The schools are listed in alphabetical order. If your school is not listed, please select 'OTHER' 

If other, write your school's name here:

If yes, please provide a copy of their IEP to Kidznotes.

Ex. allergies, asthma, diabetic, etc.

Current Instrument Information

Family Information and Program Agreements

Family Information

Emergency Contact Information
We will contact this person in the event of an emergency and parent/guardian is not available. Please do not list the same name as your child's primary parent/guardian(s).

Additional Information & Program Agreements

Ex. Food Stamps, WIC, etc.

Note special requests/situations you need to make us aware of. (Scheduling conflicts, childcare changes, etc.) 

Additional Contact Information

Please fill out the Parent/Guardian 1 information below even if you have given it before.

The Parent/Guardian 2 section is optional.
Parent/Guardian 1 Information

Parent/Guardian 2 Information (Optional)

Thank you for your interest in the Kidznotes Program! 

Please follow us on social media and check the website for updates!

Instagram: @kidz_notes

Questions? Please contact

You have completed the registration process for the SY22-23.

You will receive email confirmation to verify form completion from Please make sure to check your spam if it does not come straight to your inbox, and add to your contacts to prevent that from happening in the future.

We look forward to you being a part of our Kidznotes Community!

Program begins Monday, October 10th, 2022.

Questions? Contact: