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Registration
Welcome to CoJa Academy, please let us know a little about yourself/your child and we look forward to making music with you!
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Student Name
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Your answer
Students Date of Birth
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YYYY
Name of Parent/Guardian
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Your answer
Email
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Your answer
Phone Number
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Your answer
Mailing Address
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Instrument/Field of Study
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Program Interest (tick all that apply)
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First Steps in Music ages (4-9)
Take the Stage ages (10-99+)
Private Lessons
Rock Choir
Ensemble
Required
Preferred Day(s) of the Week
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Questions or Comments
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I consent to allow CoJa Music Academy to share media taken of me and/or the registered student on social media platforms and/or the website.
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Makeup Policy: I understand that Coja Music Academy does not offer makeups for booked time slots. We do instead offer you to let someone else use this time slot should you need to be away for any reason.
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How did you hear about us?
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