2025 Adult Education Registration: Stripe Form

Adult Education Class Registration

2025 Summer Sessions

Please read all questions carefully to ensure your registration is accurate and complete.

2025 Adult Education Class Registration Stripe

Name(Required)

First Last

Email(Required)

Phone(Required)

Emergency Contact Name:(Required)

Emergency Contact Phone#:(Required)

Instrument Played (if applicable):

Mailing Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Are you a NMJ Member?(Required)

Yes, I'm a current member

No, continue

Would you like to purchase a membership and receive a discount?(Required)

Yes, please!

Not today, thank you!

Annual Membership Tier:(Required)

Select a class:(Required)

Payment Method:(Required)

Credit Card (Recommended)

Cash or Check

How do you plan on delivering payment?(Required)

Mail to 5500 Lomas Blvd NE, Albuquerque, NM 87110

Deliver in-person to the office at 5500 Lomas Blvd NE, Albuquerque, NM 87110

I agree to mail or deliver my payment within 10 business days and I understand that if I fail to do so, or to make other arrangements, my spot in the class is NOT guaranteed(Required)

Yes, I Agree

Credit Card

Total

2025 Adult Education Registration: Stripe Form

Adult Education Class Registration

2025 Summer Sessions

2025 Adult Education Class Registration Stripe

GET IN TOUCH

+1 (505) 255-9798

5500 Lomas Blvd NE, Albuquerque, NM 87110

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