Diane Bish Music Center Registration NEW • Coral Ridge Presbyterian Church

Diane Bish Center for Music & the Arts Registration

Thank you for registering for Diane Bish Center for Music and the Arts!
For parents completing registration on behalf of your child, please fill out a seperate form for each child. If you have any questions, please contact Lisa Wilson at lisa@crpc.org.

Registrant's Information

Registrant's First Name *

Last Name *

Age (if under 18)

Parent or Guardian Name (if under 18) *

Registrant/Preferred Contact Email *

Registrant/Preferred Contact Number *

Which class(es) are you registering for? *

Group Sewing (Wednesdays)

Group Crochet (Fridays - Adults)

Beginner Ballet - Ages 5-7 (Wednesdays 3-4)

Piano - 30 minutes

Piano - 45 minutes

Piano - 60 minutes

Piano - Little Mozarts

Organ - 30 minutes

Organ - 45 minutes

Organ - 60 minutes

Voice - 30 minutes

Voice - 45 minutes

Voice - 60 minutes

Guitar - 30 minutes

Guitar - 45 minutes

Guitar - 60 minutes

Percussion - 30 minutes

Percussion - 45 minutes

Percussion - 60 minutes

Violin - 30 minutes

Violin - 45 minutes

Violin - 60 minutes

Flute - 30 minutes

Flute - 45 minutes

Flute - 60 minutes

Trumpet - 30 minutes

Trumpet - 45 minutes

Trumpet - 60 minutes

Are you interested in another instrument or class not listed? *

Yes

Previous Experience (name of teacher, years of lessons, etc.) *

Church Membership *

Are you eligible for a CRPC member discount on lessons? *

Are you registering anyone else (ie. another child/sibling) for the Center? *

Payment and Billing Information

Billing Name *

Billing Email Address *

Billing Address *

Payment Option *

Handbook Agreement *

I agree to abide by the Center Handbook and understand that refunds will not be issued for missed lessons or classes and that only one excused absence is permitted per semester.

Click here to review the handbook.

Media Consent

I give permission for my child’s picture and/or name to appear in promotional materials for the Diane Bish Center for Music and the Arts (as well as parent ministries: Institute for Faith & Culture and Coral Ridge Presbyterian Church) including but not limited to print publications, social media, videos, and website content.

Media Consent *

Yes