HUNTINGDON ACADEMY OF MUSIC
REGISTRATION FORM
[ ] Instrument: __________________ [ ] Voice: ________________
Instructional Term:
[ ] Fall [ ]
Spring [ ] Summer
Year:_________
Teacher
Assignment/Request: __________________________________________
[ ] Registration Fee
Paid ____/____/200__
Student
Information
Last Name:
_____________________________ First Name: ____________________
Student email:
____________________________________
Birth-date:
_________________________ Age at application time: _______________
School Attending:
_______________________________________ Grade: _________
Parent/ Caregiver
Information
Last Name:
______________________________ First Name: ____________________
Last Name:
______________________________ First Name: ____________________
Street Address:
_____________________________________
City:
__________________________ State: ______________ Zip Code: ___________
Home Phone:
___________________ Work Phone:
____________________
Parent Cell Phone:
____________________________
Parent email:
_________________________________
Additional
Information:
Former Teacher(s):
______________________________________________________
Time spent in
individual study: _______ yr. ________ mo.
Other instruments
studied: _______________________
Audition/competition
experience:__________________
[ ] I have read
the policies pertaining to my child’s registration into Huntingdon Academy of
Music.
Mailing Information:
Huntingdon Academy of Music
Huntingdon College
1500 E. Fairview Ave.
Montgomery AL 36106
334.833.4555
Email: rcunningham@huntingdon.edu