Community Music School Application

 
Term
(Check one, two or all)
Student Name
Mailing Address
City State Zip
E-Mail Address
Phone (Home)
Phone (Cell)
Date of Birth
Age
School Grade
Instrument
   Chose One
 
Parent's or
Guardian's Name
  Lesson Time (please indicate three best choices)
First Choice Day Time
Second Choice Day Time
Third Choice Day Time
Preferred Teacher (not guaranteed, based on scheduling)
  By selecting "I Agree" below you signify that you that you
have read the CMS brochure and inserts and you accept the
Registration, Tuition and Fees for the academic year.
 
  security code
Enter Security Code:
   
 
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