Student Name:

School Name:

Date of Birth: - -

Parent/Guardian:

Address:

City:

State:

Zip Code:

Phone:

Cellphone:

E-mail:

Instruments:

New Student:

Returning Student:

Spring Semester:

Summer Semester:

Fall Semester:

1/2 hour lessons:

45 minutes lessons:

1 hour lessons:

Voice:

Honors Program:

Suzuki Violin Class (age 4):

Suzuki Violin Class (age 5):

Guitar Class:

I, the parent/guardian have/play(ed) an instrument? If yes wich instrument?:

I/My child may be photographed for promotional materials for CAM: Yes No

I (the parent/guardian/student) understand that a copy of CAM’s Parent/Student Handbook is available for me to review at CAM, on the website, or by requesting one from the office. It is my responsibility to know CAM’s regulations/guidelines as presented in the Handbook. I agree

5 plus 2? Spam prevention Contact Form question.