You, too, can sing & play!
STUDENT REGISTRATION FORM

 

STUDENT REGISTRATION FORM

 

Date: _______________

 

Student’s Name: ______________________________________________

 

Student’s Mailing Address: ______________________________________

 

City: ______________________  State: _________  Zip Code: _________

 

Date of Birth: ____________________  Age: _________  Sex: _________

 

Student E-mail Address: _______________________________________

 

Billing Name: ________________________________________________

 

Address: ___________________________________________________

 

City: ______________________  State: ________  Zip Code: _________

 

Home Phone: __________________  Cell Phone: __________________

 

E-mail Address: _____________________________________________

 

Name of Guardian: ___________________  Relationship: ____________

 

Home Phone: ___________________  Cell Phone: _________________

 

Emergency Contact: __________________  Phone: ________________

 

Why do you want vocal lessons? _________________________________

 

__________________________________________________________

 

Musical experience: __________________________________________

 

Favorite singers: ____________________________________________

 

Favorite types of music: _______________________________________

 

Parent’s favorite types of music: ________________________________