DaVinci Center Registration

Fill out the form below to register for classes. We serve ages 2 1/2 to adults.

DaVinci Center Registration
  • Class Location*PreSchool/Select belowBroomfieldGymboree Play & MusicLakewoodOther
    Piano Playtime
    Piano
    Guitar
    Bass
    Violin
    Trumpet
    Voice
    Drums
    Ukulele
    Not Sure
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  • Piano Playtime Locations*If Applicable
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  • Class Comments*Let us know if you have any questions regarding classes
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  • We tailor make your class to fit your needs, after you pre-register with this form we’ll talk regarding the learning style of your child so we make the best program possible. This form helps start the conversation by capturing basic information.
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  • Student Information
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  • First Name*Student's Name
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  • Last Name*Student's Name
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  • Birthday*mm-dd-yyyy
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  • Gender*Student' Gender
    Male
    Female
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  • 2nd Student Information
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  • First Name 2nd Student*
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  • Last Name 2nd Student*
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  • Birthday - 2nd Student*mm-dd-yyyy
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  • Gender - 2nd Student*
    Male
    Female
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  • Additional Student Information
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  • Additional Student Info*Names & Birthdays of additional students
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  • Parent Information
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  • First Name*Parent
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  • Parent Email*
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  • Last Name*Parent
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  • Parent Phone*
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  • Parent Address*
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  • Emergency Contact*Include Name, Number & Relation
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  • 2nd Parent Information
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  • First Name*2nd Parent
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  • Email*2nd Parent
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  • Last Name*2nd Parent
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  • Phone Number*2nd Parent
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  • Additional Information
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  • Student Allergies*
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  • How did you hear about us?*
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  • One-time registration fee is $35.00 ($10.00 for additional family members). Gymboree Play & Music registration fee is waived. In-home lessons incure a monthly travel fee of $50, and there are no make-ups if a student cancels. 10% Family Discount for three or more enrollments. For private or paired lessons, if your family chooses to participate, there is a nominal fee for our yearly Creations Concert performance. This is an inspiring opportunity for students to have their music performed by professional musicians. Payment options available. For private or paired lessons, $40 one-time tuition fee for parents of Suzuki Piano Students. At the Parent Class, parents are taught the first 4 Suzuki songs, and are provided with tools for working with children at home. For private or paired lessons, Suzuki Students must purchase Suzuki Piano Book/CD 1 ($19.99) and Nurtured by Love ($12.95) by Dr. Suzuki, available through DaVinci Center, or music stores.
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  • Terms & Conditions
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  • I understand that I am responsible for payment due and will give two weeks notice, in writing, by email, or phone call to DaVinci Center's Director if I decide to discontinue my child's participation in our classes. I understand that DaVinci Center does not prorate due to child's absence, severe weather cancellations, or other severe circumstances beyond the control of DaVinci Center. If an Instructor misses a lesson, a make up will be scheduled in a timely manner. I understand that enrollment is not complete until a confirmation of registration email is received and I have been contacted by DaVinci Center for Creative Art to set up payment arrangements. I hereby agree that all the provided information is correct and I am permitting my child(ren) to be registered in the above classes with DaVinci Center for Creative Arts.
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  • Please Check This Box to Agree to all of the above*
    I agree
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  • Photo Release*Opt-In / Opt-out
    Opt-in
    Opt-out
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  • Questions & Comments*Please let us know if you have any questions or comments
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  • Digital Signature*Please type your name in this box in place of a written signature
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  • Thanks for registering with us!
    In honor of your time and peace of mind, we have set up an Auto-Pay feature where your card is charged on the first of every month (prorated first month.) Your card will NOT be charged until after you have recieved a welcome letter explaining the details of the classes, billing, policies, etc. If you choose to pay by check, checks must arrive at the DaVinci Center mailing address by the first of each month (2205 West 136th Ave, #105-151, Broomfield, CO 80023.) Please do NOT mail to the DaVinci Center physical address nor leave checks at the preschools ($20 late fee after the 5th of each month). For Auto-Pay, please enter your payment information below. We will send you a link so you can change your payment information should the need arise. We appreciate you giving us a 1 month notice when disenrolling, to allow our billing team sufficient time to process the final payment. Thank you! We will contact you soon regarding scheduling, and address any questions you may have. Look for our Welcome letter to come soon.
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  • Credit Card #*We accept Visa and Mastercard
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  • EXP Date*mm/yy
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