Georgia Center for the Arts → Faculty → Registration Form

Online Registration for Private Lessons
Note: Please fill out a separate form for each sibling in the same family

ONLINE REGISTRATION
Student Name:		Student Age:
Student School:		Grade Level:

 

PARENT/GUARDIAN INFORMATION
Parent Name:		Parent Email:
Address:		Parent Cell Phone:
City/State/Zip:		Home Phone:

EMERGENCY CONTACT
Name:
Phone:		Cell Phone:
Relationship to Student:

 

LESSON DETAILS
Instrument:
Preferred teacher(s): (leave blank if no preference)
Preferred days and times of the week:

 

 Policies & Procedures

Contact us:
Phone: 770-429-7015
Email: grant@georgiasymphony.org
Address: Georgia Center for the Arts

Georgia Symphony Orchestra | Murray Arts Center at Mount Paran Christian School | 2250 Stilesboro Road | Kennesaw, Georgia 30152
Phone: 770-429-7016 | Fax: 770-794-8916 | © 2010 Georgia Symphony Orchestra | webmaster