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2018-2019 Registration

We encourage you to call us or visit us and discuss your interests before registering so we can help you decide what is the best fit for you. Once you have decided what you would like to sign up for, please fill out the registration form below. If you would prefer not to register online, you can download the registration form at the bottom of the page and send it in with your non-refundable registration fee and payment for the first month of lessons, or request a registration packet be sent to you.

*PLEASE NOTE: Lessons will not be scheduled until your registration form, non-refundable registration fee and payment for the first month have been received. Once these have been received, we will schedule your first lesson. Balance will be due at the first lesson (unless enrolled in 10 month plan). Classes: payment due in full prior to start of class.

ONLINE REGISTRATION: Please fill out one submission per student.

Name Age Grade

Returning Student? Y N

New Students Only (Also please fill out if you have updated contact information):

Address City

ST Zip Parents

Phone Cell Phone (no dashes or spaces)


Any issues we need to be aware of that can help us provide the best lessons possible?

How did you hear about us?

Check here if you are purchasing a Gift Card:

Would you like to sign up for our mailing list? Yes No

Check here if you give permission for you/your child to have photos/videos taken to be used in promotional materials by or for the Worcester Music Academy.

ALL Students:

Private Lessons:


Availability: Please list at least 3 days/times in order of preference:

Lesson Length Lesson Plan

Location: Worcester Holden (piano/voice)



By signing, you certify that you have read the policies, procedures and expectations and agree to abide by all the terms as outlined by the Worcester Music Academy.

Signature Date

A $40 non-fundable annual registration fee is due (see policies and procedures on Program page for complete details) upon registration as well as payment for the first month of lessons. Please send a check for $40 plus the cost of the first month after submitting your online registration. If you would like to pay by credit card, please call the school with your credit card information. Once your registration material has been received, we will contact you to set up the lesson time and to give you the total tuition amount due.

Payment must be received in full before lessons can begin. You may pay for lessons in full or you may opt for monthly payments (10 month lesson plan only). If you select monthly payments, you must fill out a monthly payment agreement form (will be sent to you if you choose this option). Payment can be made by Cash, Check or Credit Card. Checks can be made out to Worcester Music Academy. We will not schedule any lessons until payment has been received. Classes must be paid in full prior to start of classes.

We encourage you to come and register in person! We'd love to show you around our wonderful school!

If you have any questions, please don't hesitate to call or email.

Registration Form (download)