Registration – North Star Music Academy

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

Parent/Adult 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? If a parent is registering a child, please put the child's name here.

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