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7600 Schomburg Rd., L
Columbus, GA 31909
(706) 561-3342
Class and Private Lesson Registration
Please register students separately.
Note
: This form is for registration. If you would like more information before registering, please click
here
.
Student's Name
*
First:
Last:
Male
Female
Student's Birthday
*
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Parent's Name
*
Address
*
City
*
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Zip
*
Email
*
Email (Confirm)
*
Home Phone
*
(
)
-
Cell Phone
*
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)
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Work Phone
(
)
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Emergency Contact
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Name
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Phone
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)
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Medical Conditions & Allergies
Class Desired
*
School of Music
Bass Guitar
Cello
Clarinet
Drums & Percussion
Flute
French Horn
Guitar
Keyboard
Piano
Saxophone
Trombone
Trumpet
Tuba
Violin
Viola
Voice
School of Dance
Ballet
Jr. Hip-Hop
Hip-Hop
Jazz
Preschool
Tap
Taylor Swift (ages 5-10)
School of Rock
Bass Guitar
Drums & Percussion
Guitar
Voice
All dance classes are 1 hour except preschool.
Private lessons in dance are available. Please contact the CSMD office for more information.
Both acoustic and electric guitar lessons are available.
School of Rock comes with 1 private lesson (30 min) and 1 group session (60 min) per week.
If you have a special combination of classes and times you'd like to register, please give us a call at
(706) 561-3342
. Our business hours are
2:00pm - 8:00pm Monday thru Friday
and
10:00am - 2:00pm on Saturday
.
Do you have any previous experience?
0
1
2
3
4
5+
years
At which studio(s)?
How did you hear about us?
Select One
Newspaper
Television
Yellow Pages
Internet
Mailer
Sign
Other/Referral
If you're a dancer, ask about our
Synergy
competition dance team!
Call Today to Register for Classes - (706)561-3342
All Rights Reserved. Copyright © 2001 - , Columbus School of Music and Dance; Columbus, GA