Belle Aire Academy
Belle Aire Academy Date _______/________/_________
Belle Aire Baptist Church 1307 M. Rutherford Blvd. Murfreesboro, TN 37130
REGISTRATION
Semester ________________________________
Student Name ______________________________________________ Date of Birth _____/_____/_____ Address ______________________________________________________________________________ City _________________________________________ State________________ ZIP ________________ E-Mail _______________________________________________________________________________ Church Affiliation _______________________________________________________________________
If student is living with parents or guardian, please complete: Parent’s Name(s) _______________________________________________________________________ Address ______________________________________________________________________________ City _________________________________________ State________________ ZIP ________________ Mom Phone: Home ____________________ Work ____________________ Cell ____________________ Dad Phone: Home ____________________ Work ____________________ Cell ____________________ E-Mail: Mom __________________________________ Dad ____________________________________
Instruction:
Instrumental ______________________________
Voice
Music Theory
I have read and understand the policies regarding tuition payment and make up lessons.
____________________________________________________________________________________ Signed (parent or adult student)
Date
Belle Aire Baptist Church 1307 M. Rutherford Blvd. Murfreesboro, TN 37130
REGISTRATION
Semester ________________________________
Student Name ______________________________________________ Date of Birth _____/_____/_____ Address ______________________________________________________________________________ City _________________________________________ State________________ ZIP ________________ E-Mail _______________________________________________________________________________ Church Affiliation _______________________________________________________________________
If student is living with parents or guardian, please complete: Parent’s Name(s) _______________________________________________________________________ Address ______________________________________________________________________________ City _________________________________________ State________________ ZIP ________________ Mom Phone: Home ____________________ Work ____________________ Cell ____________________ Dad Phone: Home ____________________ Work ____________________ Cell ____________________ E-Mail: Mom __________________________________ Dad ____________________________________
Instruction:
Instrumental ______________________________
Voice
Music Theory
I have read and understand the policies regarding tuition payment and make up lessons.
____________________________________________________________________________________ Signed (parent or adult student)
Date
