Student Information

Student 1 Full Name *

Student 1: Date of Birth *

Student 1: Instrument *

Student 1: Length of Lesson *

If you don't have another student to register, skip to the Availability section -->

Student 2

Student 2: Full Name

Student 2: Instrument

Student 2: Date of Birth

Student 2: Length of Lesson

Student 3

Student 3: Full Name

Student 3: Date of Birth

Student 3: Instrument

Student 3: Length of Lesson

Availability

Please include all the availability you have for lessons in your home each day of the week. Include as much availability as possible to help us pair you with a teacher best, and you may also include any preferences as well.

*We require a minimum of 3 days and 8 hours of availability - the more you offer, the faster and more likely we can pair you with the most ideal teacher 😃

Mondays *

Tuesdays *

Wednesdays *

Thursdays *

Fridays *

Saturdays *

Sundays *

** Please check - did you include at least 3 days of availability and at least 8 hours?

Start Date

We usually can set schedules to begin within 2-4 weeks for students registering throughout the year. If you are hoping for a later start date, please let us know that.

In the space below, please let us know your preferred start date.

Summer Semester begins June 15 - Aug 12.

Students can begin anytime.

Account Holder - Parent Information

First Name *

Last Name *

Phone *

Email *

Emergency Contact

Please enter the name of a second adult in the home whom we can contact if there is an emergency or issue and you can't be reached:

2nd Adult's Name *

2nd Adult's Phone Number *

Your Address

Address Where Lessons Will be Held *

City *

State *

Postal code *

Almost there!

May we use videos or photos of your child/children in our promotional materials online or in print? *

Yes

How did you hear about us? *

Promo Code?

Do you have a government scholarship to pay for lessons? If so, please enter the name of the scholarship you have:

Please read and agree to our policies: https://shiningstarmusicacademy.com/policies-1

Do you agree to our policies shared above?

Yes

Summer progam:

If you are registering for summer - we have exciting options!

We will have optional performances the weekend of August 17-18. Please choose a course for each student (if you don't know what you would like, you can reach out or wait and discuss with your teacher in the first lesson:

Songwriting (perform an original composition at end of summer)
Duet program (prepare and perform a duet with another student at the end of summer, we will pair you up)
Regular awesome lessons learning a new instrument (this is what we are known for - and students are invited to perform a prepared piece in August as well).

Summer Program Choice

Please share your goals for the student, any experience they have had in their instrument, and other notes that would assist us in helping you find the best teacher:

Press the "submit" button and you will be required to pay a $50 deposit per family on the next screen.

NOTE: If the "submit" button isn't working, a box wasn't filled in correctly. Please scroll to the top of the form to see how to solve the issue

!! If you don't receive an email confirmation after submitting this form, it did not go through!

email us at hello@shiningstarmusicacademy.com if you have issues or call 352-519-3999

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