Private Studio Registration

Private Studio Registration
Are you a new student or returning student?*

New StudentReturning Student
Which semester are you registering for?*

Fall SemesterSpring SemesterSummer Semester
Today's Date*

MonthDayYear
Date
Student Name*

First NameLast Name
Parent/Guarian

First NameLast Name
Phone Number*
Please enter a valid phone number.
Preferred Mode of Contact*
Email*
example@example.com
Date of Birth*

MonthDayYear
Date
Gender*
Instrument Choice/Instructor*
Lesson length as determined by your instructor?*

30 Minutes45 Minutes60 Minutes
Students who enroll in the Academy of Music for Private Studio Lessons will participate in age-appropriate instrument/voice lessons once a week with a qualified instructor. Students may choose small group or private study depending on the intrument choice. *Suzuki String students will participate in both private and group lessons each week as determined by the instructor. Group lesson fees are determined per semester. All students are expected to arrive on time and come prepared for each scheduled lesson. In the event of an illness or emergency, students must provide 24-hour notice to cancel or reschedule a lesson. More detailed information regarding our policies, procedures and tuition can be found on the First Baptist Academy of Music webisite. If you have any qustions, please contact Mrs. Michelle Hardin at musicacademy@firstroanoke.com or call the church office at 540-224-3300 x333.
Media Release
By selecting yes, you consent to having you (or your child's) picture taken or filmed by FBAOM for use in any academy promotional or educational materials, either online or in print. This consent does not allow any further publication or use of pictures/videos by any other party without your advance written authorizaion.
Do you consent to the First Baptist Academy of Music Media Release?*

YesNo
Studio Policy Agreement
With my signature and submission:
- I agree that I have read and will abide by the FBAOM's studio and financial policies
- I agree to pay for the full semester either by monthly payments, half semester (8 weeks) or for the entire semester (16 weeks)
- I acknowledge that I am financially responsible to pay for lessons in advance and for all charges that I commit to by registering for private/group lessons with FBAOM
Signature*

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Private Studio Registration

Media Release

Studio Policy Agreement