Academy of Music Registration Form
An annual, one time registration fee of $25 is due at registration.
Select a Semester
Student's First Name
Your answer
Student's Last Name
Your answer
Gender
Parent/Guardian Name
Your answer
Email
Your answer
Street Address
Your answer
City/State/Zip
Your answer
Cell Phone
Your answer
Student's School
Your answer
Student's Grade
Church Name
If you attend a church, please give the name of the church below.
Your answer
Area of Study
Lesson Length Requested
(Note: Some instructors advise or require longer lesson times for more advanced students. Your designated instructor will contact you if applicable.)
How many years have you previously studied your instrument?
Notes
In this section you may indicate any former studios or instructors you worked with, optionally provide any desired days and times of study (we will try to accommodate you the best we can), and teacher requests.
Your answer
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