Music Academy of Greater Milwaukee - Online Registration & Enrollment Form

Day - Type - Location

Mondays - In-Person - Jackson

Wednesdays - In-Person - Madison - FULL

Thursdays - In-Person - Pewaukee

Fridays - In-Person - Greenfield

"I am interested in reserving the following private lesson time slot(s) at the location indicated above."

Student's First Name

Student's Last Name

Student's Age

Student's Birth Date

Student's Academic Grade Level (Entering)

Musical Instrument (or Subject)

Parent's Name

Parent's Email Address

Daytime Phone

Type of Phone

Cell

Landline

Alternate Phone Number

Type

Cell

Landline

Mailing Address (Number & Street)

City & Zip Code

Special Requests or Additional Information (optional)

Contract Agreement

I have read and agree to the terms of the contract regarding classes at Music Academy of Greater Milwaukee. (See red link at the top of this page.)