School Year Preliminary Registration Form

School Year Preliminary Registration Form:

Name

First Name

Last Name

Date of Birth

Phone 1

(###)

###

####

Phone 2

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Requested Instructor

Instrument

Lesson Length

Requested Lesson Time #1

Requested Lesson Time #2

Requested Lesson Time #3

School (Optional)

Agree to Terms Below

I Agree To The Terms As Stated Below

After the submission of the form the office will get in touch with you to complete your registration.

Registration Terms

Placement confirmation is not guaranteed until payment is received by the Georgia Academy office. We accept checks made payable to The Georgia Academy of Music and MC or Visa. The registration fee of $60 and the first month tuition installment is due at registration. Contact the office for the tuition amount.