Summer Registration Form FollowFollowFollow Please enable JavaScript in your browser to complete this form.Payment must be received in full prior to start of lessons or workshops.Name *FirstLastAge *Instrument(s) *Preferred Lesson Days and Times (please list at least 3): *Lesson Length (please choose one) *30 minutes45 minutes60 minutesNumber of Lessons *Location *WorcesterHolden (not available in summer)Do you need an instrument rental? (if so we will send you a rental contract upon receipt of your registration)YesNoClasses/WorkshopsMaking MusicSongwriting 101Broadway WorkshopBeginning a Music CareerSummer Choral EnsemblesWould you like to pre-register for the fall to secure a spot in your teacher’s studio? *YesNo($70 due by June 13 to pre-register – non-refundable)If pre-registering: please list any preferences for fall lesson days/times (this does not guarantee you will get this day/time): Parents/Guardians Names (if applicable) *Phone (Main) *Phone (Secondary)Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeEmail *How did you hear about our school? *Google/Other Search EngineFacebookInstagramTikTokCurrent/Former StudentWMA Faculty MemberOtherHave your read and agreed to our Policies? *YesNoHave you read and agree to our Student and Parent Expectations? *YesNoBy 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. *SignatureDate *MessageSubmit