Application for Enrollment

Please complete this form to apply for enrollment in music lessons at Brooklyn Arts Music Academy. Once you submit this form, you will hear from BAMA staff within a week.

 
Student Birthdate*    
Student Preferred Pronouns
Desired Instrument of Study*
Desired Lesson Length*
Demographic Identification  Φ
If student has any learning differences, please describe:

If you are completing this form for a student under 18, please provide your own name and contact information below. If you are an adult student, please provide your own name and contact information.

Primary Contact:
    Relationship to Student*
    First Name*
    Last Name*

Use the space below to provide information for additional adults who would like to be contacted by the school (ex. parents).

Adult Contact (1):
    First Name
    Last Name
    Relationship
    Phone
    Email
Adult Contact (2):
    First Name
    Last Name
    Relationship
    Phone
    Email
Comments