Miller Guitar Academy Enrollment Form
This form is to be used to enroll for classes or lessons at Miller Guitar Academy and is an agreement by the student to pay for the period of time indicated in this agreement. It is for both online and in-person lessons when available.
Sign in to Google to save your progress. Learn more
Email *
How did you hear about Miller Guitar Academy? *
Full Name of Student *
Street Address *
City *
State *
Zip *
Age of student (unless 18 or over)
Name of Responsible Parent or Guardian (if student is under 18)
Phone
Can we text you? If so at what number.
Will you need to rent or purchase a guitar.
What kind of guitar do you have?
Semester or Term of Enrollment *
Required
I agree to pay for all or a prorated amount for the semester I have indicated even if I discontinue attending lessons either online or in person. *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Miller Guitar Academy. Report Abuse