BAMA Registration Form

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SPRING SEMESTER 2024

Mon, Jan 29, 2024 - Tue, Jun 18, 2024

After submitting this registration form, we'll contact you to confirm your lesson day/time. You'll then receive an invoice via email for the tuition and fees.

Your tuition balance will be due upon enrollment. We accept cash or check made payable to "Bergen Academy of Music and Art". PLEASE NOTE: Tuition balance payments made via credit card will incur a 2.9% processing fee.

Student Name (First & Last) *

Instrument *

Birthdate (Month/Day/Year) *

Parent/Guardian Full Name (or "Self") *

Home Address (Street, City, Zip Code) *

Primary Contact Name & Phone Number (please indicate: Cell or Home) *

Primary Contact Email Address *

Secondary Phone Number and/or Email (optional)

Preferred lesson length: *

30 minutes

45 minutes

60 minutes

Teacher recommendation preferred

Are you registering an additional instrument or additional household enrollment? (You'll receive a tuition discount on each additional enrollment.)

Yes (Please submit a separate registration form for each instrument/enrollment)

Maybe

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If you're a new student, how did you hear about us? (Check all that apply)

Google/Internet Search

Passed By

Word of Mouth (If coming to us by direct referral, please write their name in the "Other" option)

Other:

Is there anything you'd like to share with us or your teacher that would help us to serve you better?

BAMA STUDIO POLICIES:

IMPORTANT: Please read our studio policies here: https://www.bergenacademy.com/policies

I have read and accept all BAMA studio policies.

I understand and agree to the lesson cancelation and makeup policies:

-I understand that each student is entitled to a maximum of 2 makeup lessons for the semester (1 if registering on/after the halfway point of the semester), and a makeup lesson will be offered ONLY if the studio receives 24 hours' notice. Same-day cancelations will not be entitled to a makeup lesson, credit, or refund.

-I understand that each student has a designated lesson time reserved for their use for the semester. No credits or refunds are given if a student does not utilize their reserved time slot.

Please write your full name (First & Last) below. This electronic signature indicates that you have read and accept all BAMA studio policies.

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