Registration & Payment Form

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ELITE MUSIC ACADEMY

[email protected]

Home
About Us
Faculty
Private Instruction
Rules and Policies
Contact Us
Employment Opportunities
Calendar
Recital Photos and Videos

Home
About Us
Faculty
Private Instruction
Rules and Policies
Contact Us
Employment Opportunities
Calendar
Recital Photos and Videos

"Without craftsmanship, inspiration is a mere reed shaken in the wind." Johannes Brahms

Student's First and Last Names*

Student's Birthday*

Name of the School (if not attending, write None)*

Parent or Guardian's Name*

Address*

Phone Number*

Email Address*

Instrument (if you are taking more than one instrument, please check all that apply)*

AccordionBrass (please specify which instrument/s in the box below)GuitarPianoPre-K LessonsStrings (please specify which instrument/s in the box below)Theory/SolfeggioVoiceWoodwinds (please specify which instrument/s in the box below)

Specify Instrument

Lesson Type (check all that apply)*

IndividualGroupChamber MusicOpera WorkshopA cappella Ensemble

Lesson Length (check all that apply)*

15 Minutes (available to preschool age children only)30 Minutes45 Minutes60 Minutes

How did you hear about EMA?*

Personal RecommendationOnline AdInternet SearchSocial MediaOther (newspaper, flyer, etc.)

If Other, please let us know how you found out about us:

Additional Comments or Questions:

Select Your Payment Method (lessons will not be given until after the payment has been received)*

Check ($35 fee will be charged for a bounced or returned check)Cash

Please check before submitting*

I have read and agree to the school's rules and policies, outlined on this website. Please note: a $50 annual, non-refundable, fee will be charged at the time of registration for one student, and $75 for a family of two or more.

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Thank you for contacting us. We will get back to you as soon as possible.

We offer music lesson in various instruments to people of all ages, taught by dedicated professionals.

Be a part of EMA, and we will help you discover your talent and develop your musical gifts!

E-mail: [email protected]

Address: 8306 Brookside Road, Elkins Park, PA 19027

Phone: 267-738-6787

Lesson Information Form

We are located in Elkins Park, PA

and serve Montgomery, Bucks, and Philadelphia counties.

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