Registration

Registration Form

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Print and fill out the PDF above, or use the form below (one per student):

Name*
First Last
Address*
Street Address City ZIP Code
Home / Cell Phone*
Work Phone
Email*
*
- I am registering myself.
- I am a parent/guardian registering someone else.
Student Name*
First Last
School Grade*
Birth Date*
MM
DD
YYYY
Availability for lessons:
Please indicate time range and preference (1st, 2nd, or 3rd choice).

example: Monday 4-6pm 1st choice
Sunday
Monday
Tuesday
Wednesday
Thursday
I prefer to receive invoices by:*
Previous piano study?*
- Yes
- No
Please describe:
Previous voice study?*
- Yes
- No
Please describe:
Which instrument are you signing up for? Anything else we should know?
I have read, understand, and agree to the terms stated in the Studio Policies of North Star Music Academy.
*
- Yes
Comments
This field is for validation purposes and should be left unchanged.

North Star Music Academy