The Academy Online Registration

Registration

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Please complete the information below to create your account. After you enter your information, you will be able to select your student's desired class. All registrations require payment of your first month of tuition and our yearly membership fee (if applicable). We pro-rate lessons if you start mid-month. Tuition payments are auto charged to your account on file on the 15th of the month for the upcoming month. Discounts are applied manually by our staff. *Mini Sessions are charged in full!

* denotes required fields

Referral Information

How did you hear about us?*

Referral Name

Family Information

Family Last Name*

Where do you live?

Home Address*

City*

State*

Zip*

Additional Info

Emergency Contact Info*

Contact #1

Contact #1 First Name*

Last Name *

Type*

How Can We Contact You?

Cell # * Receive Text Message Notifications

Portal Access (your email is your login)

Email* (Emails are kept confidential)

Confirm Email*

Portal Account Password

Confirm Portal Account Password

Contact #2

Contact #2 First Name*

Last Name*

Type*

How can we contact you?

Cell # * Receive Text Message Notifications

Email (Emails are kept confidential)

Confirm Email

Student #1

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

PROMO CODE

EVENT ATTENDED

Is your student a beginner?

Piano or Voice? (music lesson)

If a class is Closed, then it is full. You can add yourself to a wait list and still enroll in another class. You will only be charged for 1 class and we will call when you are next on the list.

Enroll in Classes

Select Class *

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

PROMO CODE

EVENT ATTENDED

Is your student a beginner?

Piano or Voice? (music lesson)

If a class is Closed, then it is full. You can add yourself to a wait list and still enroll in another class. You will only be charged for 1 class and we will call when you are next on the list.

Enroll in Classes

Select Class *

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

PROMO CODE

EVENT ATTENDED

Is your student a beginner?

Piano or Voice? (music lesson)

If a class is Closed, then it is full. You can add yourself to a wait list and still enroll in another class. You will only be charged for 1 class and we will call when you are next on the list.

Enroll in Classes

Select Class *

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

PROMO CODE

EVENT ATTENDED

Is your student a beginner?

Piano or Voice? (music lesson)

If a class is Closed, then it is full. You can add yourself to a wait list and still enroll in another class. You will only be charged for 1 class and we will call when you are next on the list.

Enroll in Classes

Select Class *

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

PROMO CODE

EVENT ATTENDED

Is your student a beginner?

Piano or Voice? (music lesson)

If a class is Closed, then it is full. You can add yourself to a wait list and still enroll in another class. You will only be charged for 1 class and we will call when you are next on the list.

Enroll in Classes

Select Class *

Add Another Student

Required Policies

(Show-Hide Details)

Questions or Concerns

Comments

Payment Information

Please fill out ONE of the following Payment Methods

Credit Card

Card Number

Exp Month

Exp Year

Card Nickname

Name as it appears on card

Address Line 1

Address Line 2

City

State

Zip

eCheck/Bank Draft

Bank Name

Account Type

Your Account Name (Your name on your bank statement)

Bank Routing Number (9-digit number)

Account Number

Registration

Referral Information

Family Information

Where do you live?

Additional Info

Contact #1

How Can We Contact You?

Portal Access (your email is your login)

Contact #2

How can we contact you?

Student #1

Additional Info

Enroll in Classes

Student #2 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #3 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #4 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #5 (Show-Hide Details)

Additional Info

Enroll in Classes

Required Policies (Show-Hide Details)

I Agree to All of the Above

Questions or Concerns

Payment Information

Credit Card

eCheck/Bank Draft

Required Policies

(Show-Hide Details)