Faith Music Academy

Faith Music Academy Registration

Please contact [email protected] before registering.

Student Name*

Student Age*

Parent Name (if student is under 18)

Email*

Phone Number*

What type of lessons are you interested in?*

Piano
Voice
Violin - limited space, please email [email protected] before registering
Flute

How long of a lesson would you prefer each week?*

30 minutes
45 minutes

What day would you prefer to have your lesson?*

Monday
Tuesday
Wednesday
Thursday
Friday

Do you have a preferred time range for your lesson?

Preferred Teacher's Name

Please briefly describe your previous musical experience.*

Photo Permission

I give permission for my student's photo to be taken for use on the website. Faith Music Academy may take photographs of classes, lessons, recitals, and events for promotional use in on-line and print materials. It is our policy not to include the names of children in any captions.

Do you have any allergies?*

None
Peanut Free
Gluten-Free
Other

If other allergies, please indicate here.

Payment Options*

I will pay in full by September 16.
I will pay monthly by the first lesson each month.

Cost*

Registration Fee (per student) ($25.00)

Total

$0.00

Billing Information

Name*

Credit Card*

Visa
Mastercard
Discover

Address*

Email*

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