HARMONY ROAD MUSIC ACADEMY Registration Form
	Please mail the completed registration form and the tuition/registration fee check to: Harmony Road Music Academy 1641 W. Kingbird Dr. Chandler, AZ 85248 Student’s Name __________________________________________________ Age _____________ Birthday ______________________________________ School ___________________________ Grade (Jan. 2007) ______________ Parents’ Names _________________________________________________ Home Address ___________________________City ________ Zip _______ Home Phone _______________________ Cell Phone___________________ Work Phone _______________________ Email ______________________ Previous Musical Experience ______________________________________ Class intend to enroll ____________________________________________ Please read studio policy carefully before signing Class space is reserved as the registration form and tuition with enrollment fee are received at the studio. Tuition can not be refund for any reason. All fees apply only to the course enrolled for and cannot later be transferred to other courses, other family members or subsequent sessions except the cancellation of the class. I have read the policies and understand the tuition policies. Enclosed is the tuition plus $50.00 non-refundable enrollment fee. Please enroll the above student in the Harmony Road Music Academy. Parent’s Signature ______________________________ Date ______________ Please return this registration form with a check payable to Harmony Road Music Academy.
	Copyright © 2006 Harmony Road Music Academy. All rights reserved.