Registration – North Star Music Academy

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

First Name(required)

Last Name(required)

Street Address(required)

City(required)

Zip Code(required)

Home/Cell Number(required)

Work Number

Email(required)

I am registering for…(required)

Myself Someone else (as their parent or guardian)

Birth Date(required)

Please indicate time range and preference (1st, 2nd, or 3rd choice).
Example: Monday 4-6pm 1st choice

Sunday

Monday

Tuesday

Wednesday

Thursday

Previous piano study?(required)

Yes No

Previous voice study?(required)

Yes No

Which instrument are you signing up for?(required)

Anything else we should know?

I have read, understand, and agree to the terms stated in the Studio Policies of North Star Music Academy.(required)