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Summer Registration 2019

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.

*PLEASE NOTE: Payment is due in full upon registration.

ONLINE REGISTRATION: Please fill out one submission per student.

Name Age Grade

Returning Student? Y N

New Students Only (or if you have updated contact information):

Address City

ST Zip Parents

Phone Cell Phone


Any issues we need to be aware of?

How did you hear about us?

Would you like to pre-register for the fall to secure a spot in your teacher’s studio? Yes
($70 due by June 15 to pre-register)

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 3 days/times in order of preference:

Lesson Length Lesson Plan




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-refundable annual registration fee is due for new private lesson students (see policies and procedures on Program page for complete details) upon registration as well as the full payment for the program you are registering for. Please send a check or 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. $15 non-refundable registration fee due for all classes and workshops.

Payment must be received in full before lessons can begin. 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.