Woodward Piano Class Registration Form
NOTE: This form is only used to sign up for piano lessons at Woodward North Academy.
Your Name *
Child Name 1 *
Grade *
Homeroom Teacher *
Child Name 2
Grade
Homeroom Teacher
Address *
email *
Work Phone
Cell Phone
Home Phone
I am interested in
30 minutes - $1,015/year
45 minutes - $1,495/year
Please make the check payable to Atlanta Music Academy.
My preference of missing class to take piano lesson is
Recess
Music
PE
After School
After school: please indicate the latest available time:
Please indicate which program your child will participate in:
Initial your child/children’s name on the box.
Horseback Riding
Ballet
Violin Class
Brownie, Girl/Boy Scout, Daisie
Spanish Club, Chinese Club
Chorus
After School Program
Chess Club
Odyssey of the Mind
Golf
Paid Amount
Check Number
Special Request
Request sent successfully. Thank you.