Summer Music Safari Registration Form Page

Thank you for registering for Summer Music Safari.

Step 1:  Please complete this registration form.

  • After you complete this form and click ‘submit’, you will be redirected to the registration portal page (Step 2).
  • Any discounts will be applied in office prior to submitting your registration for payment.

Thank you.

Summer Music Safari Reg Form

  • Is student 1 ......
  • Please note that student must be no younger than 5 years old as of 9/15/20.
    Date Format: MM slash DD slash YYYY
  • Is student 2 ......
  • Student must at least 5 as of 9/15/20.
    Date Format: MM slash DD slash YYYY
  • Is your child or are your children on track with typical cognitive and social skills generally associated with entry into kindergarten and Grade 1/2 learning? If your answer is no, we'll follow up to assist in deciding if this class is the right placement for your child.
  • Your response is appreciated. This information is used for aggregate reporting to grantors and similar, and remains confidential. Do you primarily identify as….
  • Your response is appreciated. This information is used for aggregate reporting to grantors and similar, and remains confidential. Do you primarily identify as….
  • Your response is appreciated. This information is used for aggregate reporting to grantors and similar, and remains confidential. Do you primarily identify as….
  • Do you give Pakachoag Music School permission for yourself and/or your child(ren) to be photographed and/or videotaped during school functions for school purposes and for such photos or videos to be used commercially by the school, including postings on the School web site. We do not post names publicly (but may make a specific request, individually, if so desired).
  • Please review our Summer Program Policies at this link prior to completing registration, and confirm your acceptance below. Scroll down to find the "Summer Policies" section. Summer Registration & Policies
  • Feel free to select as many as are applicable.
  • Please confirm your payment plans. Any discounts will be applied in office prior to final submission for payment.

    When you click submit below, you will automatically be re-directed to the online payment portal where you can search/select your desired class and make payment with credit card.
  • This field is for validation purposes and should be left unchanged.