AngelSong Academy of Arts
Registration Form

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You may print this form to register with us, or download the Registration Form at the bottom of this page.

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Name of Student ______________________________

 

Age _________ Birthday ­­­­­­­­­­­­­________________________

 

Grade ___________________ School ___________________________________

 

Has the student had any previous piano instruction? If yes, which book(s) / method?

 

__________________________________________

 

How many months / years of study? _____________________

 

Preferred Session for Blast Off With Piano ©

 

I-July 14-18 _________       II-July 21-25 ________

 

Parent Information

 

Name ___________________________________________

 

Address _________________________________________

 

City _____________________ State _____ Zip __________

 

Phone ___________________     Parent's email _________________________ (For studio use only)

 

Class Registration

 

_____ Summer 2003 Blast Off With Piano

 

_____ Fall 2003 Group Piano Lessons begin the week of August 11

 

_____ Spring Semester 2004 Group Piano Lessons

 
 
Comments__________________________________________
 
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By clicking the link below, you will download the Registration Form as a Word document. You may then email the form back to krb6@att.net as an attachment.

click here to download file

AngelSong Academy of Arts * P. O. Box 393 * Bethlehem * GA * 30620