SAINT FRANCIS MUSIC ACADEMY (SFMA) ONLINE REGISTRATION FORM

I. PERSONAL INFORMATION:

Student Name (required)

Age

Date of Birth (required)

Grade

School

Parent/Guardian Name(s) (required for minor student)

Address (required)

Contact Phone Numbers (Required)

Email Address (required)

Are you a member of St. Francis?
Yes No 

II. COURSE SELECTION:

Group Instruction Selections:

Area of Private Instruction:

Private Lesson Length

Have you had previous instruction?

If Yes, please specify instrument, class, teacher, and years of study.

III. BUSINESS AGREEMENT:

I, the below signed Responsible Party, am committing the above named Student
for the full semester’s study and agree to pay the entire semester’s tuition. I understand
that once registered, I am obliged for the full semester fee, whether or not the student
attends the lessons, and that exceptions will be made only in cases of documented medical
emergencies or other extreme circumstances (such as moving out of state).

Electronic Signature

Date

How did you hear about SFMA?