The Common Place Arts Academy Interest Form
For parents/guardians interested in enrolling a scholar this fall. Program Days: Tuesday, Wednesday & Thursday • 3:00 PM – 6:00 PM
Parent/Guardian Full Name
*
First Name
Last Name
Parent/Guardian Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Parent/Guardian Email Address
*
example@example.com
Scholar's Full Name
*
First Name
Last Name
Scholar's Age/Grade
*
Scholar's Artistic Interests (Check all that apply)
*
Instrumental Lessons: Piano
Instrumental Lessons: Drums
Instrumental Lessons: Guitars
Visual Arts (drawing, painting, sculpture, etc.)
Singing
Piano Skill Level
*
Please Select
Beginner
Intermediate
Advanced
No experience
Drums Skill Level
*
Please Select
Beginner
Intermediate
Advanced
No experience
Art Skill Level
*
Please Select
Beginner
Intermediate
Advanced
No experience
Singing Skill Level
*
Please Select
Beginner
Intermediate
Advanced
No experience
Additional Notes or Comments
Submit Enrollment Interest
Should be Empty: