Woodhaven School of the Arts

    Registration Form

     

    Name: 

     

    Age:       Date of Birth: 

     

    Address: 

     

    City, State, Zip: 

     

    Email: 

     

    Home Phone: 

     

    Parent(s) Name(s): 

     

    Work Phone: 

     

    Area/Instrument Desired: 

     

    Years of Experience: 

     

    Please indicate which day(s) is best to schedule a lesson:

     

     

    What is the earliest time during the day you can schedule a lesson?

     

     

    Does the student have any health issues or concerns? 

     

    If yes, please list: