SOTA Registration
"
*
" indicates required fields
Student's Name
*
First
Last
Gender
*
Male
Female
Date of Birth
*
MM slash DD slash YYYY
Address
*
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Student's School
*
Student's Grade
*
Enter the number grade alone. Adults enter 13
Parent(s) or Guardian(s) Please Complete
Parent(s) Name
Cell Phone
*
Are you willing to receive text messages with last-minute updates?
*
Yes
No
Email
*
Desired Private Instruction
Choose Instrument Below
*
Voice
Piano
Guitar
Bass Guitar
Drums/Percussion
Saxophone
Flute
Clarinet
Oboe
Trumpet
Violin
Viola
Cello
Desired Lesson Time
Select Lesson Duration
*
30 Mins.
45 Mins.
60 mins.
Day of the Week Preferred
Select Your First Choice
*
Monday
Tuesday
Wednesday
Thursday
Time of Day Preferred
*
Select Your Second Choice
*
Monday
Tuesday
Wednesday
Thursday
Second Choice Time of Day Preferred
*
Previous Information
How Many previous years of instruction have you had?
*
None
1 Year
2 Years
3 Years
4 Years
5+ Years
Annual One-Time Registration Fee
Price:
Comments
This field is for validation purposes and should be left unchanged.
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