Pre-Registration Form

Member of Boston Central

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It has been a great year for the students of Sharon Music Academy. Everybody plays so much better, has better understanding of music (especially students who took theory courses) and everybody certainly has enjoyed this wonderful journey of learning music.

We have a lot of plans for the next year — new programs, courses, competitions, field trips, opportunities to perform and many others exciting music experiences for our students. In order to better plan all these activities and create a convenient schedule we need all students, who intend to continue to study music, pre-register for the next year. Pre-registration will guarantee that a time-slot will be reserved for a student. Please try to specify the time slots that would not conflict with other activities. Though we will make every effort to change a schedule if you need it, we can't guarantee it. You need to register even if you don't know your schedule for the fall to guaruntee a slot with your teacher.

We look forward to seeing all of our students next year at the Academy. Let’s continue this wonderful journey of learning music together!

First Name:

Last Name:

Please update your contact information

Street:

City:

Zip:

Contact Info of Adult Student or Legal Guardian:

Telephone:

Emails(separate by ;)

If under 18 years old:	Date of birth:	(MM/DD/YYYY)
Father's Name:	Daytime Phone:

Mother's Name:	Daytime Phone:

Select Instrument/Program:		Lesson Length:
Second Instrument/Program		Lesson Length:

If you already know your schedule for the next year, please indicate preferred days and times. Please specify availability period as broad as possible, i.e. Period 1: 9 am - 11:30 am; Period 2: 3:30 pm - 8:30 pm.

Period1

Period2

Period3

Day

From

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Any additional requests:

Name of the person filling out this form:

To process re-registration we need to receive your registration fee ($35 for an individual and $50 for a family). You can mail us a check or drop it in the deposit box in the hall.

Please enter your check number: