Lesson Registration

You must have a confirmed lesson time, location, and instructor before registering. Contact Manda Shepherd at mshepherd@nempacboston.org for all inquiries.
Please review our updated Program Policies before registering. 

Our Spring Session begins April 10th, 2017 – Registration is now open, and the deadline for registration is April 3rd. Registration is incomplete without payment. We do accept mid-session registration for new students – contact mshepherd@nempacboston.org to schedule a lesson time!
Last Name
First Name
Address
City
State
Zip Code
Email
Parent / Guardian Contact Name
Phone Number
Emergency Contact
Emergency Contact Phone Number
I consent to my child arriving and leaving lessons alone (unaccompanied by an adult). By confirming "yes", I understand that NEMPAC Instructors will let my child leave lessons alone.
Student Age
School Name
Instrument(s)
Instructor
Confirmed Lesson Day & Time
?
If you do not have a confirmed time or date, please contact Manda Shepherd to arrange right away at mshepherd@nempacboston.org prior to registering.
Lesson Length (minutes)
Lesson Instructional Site

Scholarship Reduction (if applicable – scholarships reduce the cost of each lesson by $16.50): $
?
Scholarship applies to students approved for scholarship by the NEMPAC scholarship committee. Scholarship application deadline is August 22nd and the application is available on the NEMPAC website.
Pick_Up and Drop_off option (additional fee of $50 per session)
Are you a new or returning student?
Release
Datestamp (enter as dd/mm/yyyy):
Would you like to make a small donation to NEMPAC's Annual Drive this year? If so, please select one of the following amounts: