Make your own free website on Tripod.com
AngelSong Academy of Arts
Registration Form

HOME

About Us
Blast Off With Piano Summer Camp
Tuition and Schedule Information
Registration Form
Meet the Instructor
Contact Us
You may print this form to register with us, or download the Registration Form at the bottom of this page.

.

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__________________________________________
 
___________________________________________________
 
___________________________________________________
 
___________________________________________________
 
___________________________________________________
 
 
 
 
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