Membership Application Form

Music Academy of Kansas City
Music Study Enrollment Form*

*private lessons only, for group lesson sign-ups click here.

Name

Birthday

YYYY

Parent/Guardian Name (if student younger than 18)

Phone

Address

Has student previously studied music? If so, how long?

Length of lessons in which you would like to enroll

30-minute lessons

45-minute lessons

60-minute lessons

How did you hear about us?

Google search

Thumbtack

MAKC website

Friend/Family Referral

Walk in

Other

MAKC Policy

I have read and accept the Music Academy of Kansas City Policy, and understand my obligations and responsibilities as stated.

Signature

Verification