Student Registration/Policy Agreement Form

Monday : In Person Class Times
Tuesday In Person Class Times
Wednesday Online Class Times
THURSDAY Online Class Times
Student Registration and Policy Form

Thank you for your interest in Savannah Music Academy. Please do not share this link with anyone. All new parents and child(ren) must meet with me before registration.
Student Name*

First NameLast Name
Birth Date*

MonthDayYear
Name of School*
Parent/Guardian Name(s)*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
Email*
example@example.com
Preferred Method of Contact*

PhoneEmailOther
Is there anything I need to know to better serve your child in class?
How Did You Hear About Savannah Music Academy?

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Policy Agreement Form

By entering your name and checking the boxes below, you are stating that you have read and agree to the entire policy and agreements of Savannah Music Academy found below. You will not be allowed to register for lessons until you have signed this form.
Parent/Guardian Name*

First NameLast Name
Media Release Agreement

I allow Savannah Music Academy to use the Media mention in the Studio PolicyI opt-out of the Media Release Form
Should be Empty:

Student Registration and Policy Form