The Voice Music Program Registration Form

The Voice Music Academy

Registration Form
Name

First NameLast Name
Email
example@example.com
Date of Birth

MonthDayYear
Date
Gender

FemaleMale
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian Name

First NameLast Name
Parent/Guardian Email
example@example.com
Cell Phone

Area CodePhone Number
The Voice Membership Status

MemberNon Member
Preferred Instrument

PianoVoiceGuiterViolinSaxophoneDrumsTrumpets
Preferred Lesson Day

MondayTuesdayWednesdayThursdayFridaySaturday
Preferred Lesson Time(s)

MorningAfternoonEvening
Are you currently Enrolled At The Voice Music Academy*

YesNo
If YES, Please Explain
Have You Had Music Lessons Prior To Enrolling In The Voice Music Academy?*

YesNo
If YES, Please Explain
REGISTRATION FEES:
Please note that this payment is only for the Registration fee. The another payment is required after the first two lessons.

A non refundable deposit of $50, a payment for the first two lessons is required to register.

PAYMENT PLANS:
Registration Alone = $50
Registration + 30 Mins/Week = $50 + $25 = $75
Registration + 60 Mins/Week = $50 + $50 = $100
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Music ProgramREGISTRATION FEES: Please note that this payment is a non refundable only for the Registration fee, and it will cover two sessions of music program. Subsequent payment is required after the first two lessons. The non refundable deposit of $50 is required to register.
$50.00

Total

$0.00
Should be Empty:

The Voice Music Academy