Application for Enrollment

Make sure you have read the Tuition policy agreement

Information is to be completed by the parent/guardian if student is under 18 years of age.

Student's Name

First Name

Last Name

Student's Date of Birth

YYYY

Which instrument(s) would you/your child like to study?

Previous music experience, if any

School Student Attends

If you are an adult no longer in school, please list n/a.

Residing School District and County

If you are an adult no longer in school, please list n/a.

Grade

School Type

Parent/Guardian's Name

If student is under 18 years of age, or own name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email Address

Phone Number

Preferred Method of Contact

How would you like to be contacted?

Phone

Add'l Parent/Guardian's Name

First Name

Last Name

Email Address

For Add'l parent/guardian

Phone Number

For Add'l parent/guardian

I have read the Tuition Policy Agreement

Yes

I attest that the above information is correct to the best of my knowledge.

Yes