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


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

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

click here to download file

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