Private Lesson Enrollment Form

How did you hear about FMAA?

Student Name (First and Last) *

Student's Birthdate * +

Student Gender *

Preferred Pronouns

Parent/Guardian Name (if applicable) *

Street Address *

Address Line 2

City *

State *

Zip Code *

Preferred Cell Phone Number *

Alternate Phone Number

Email Address *

*Please note: Fresno Music Academy & Arts will send an email and text reminder of your appointment the day prior.

Emergency Contact Name *

Emergency Contact Relationship *

Emergency Contact Phone Number *

Emergency Contact Email *

Your lessons will be on the same day and time every week.

Please read our policy regarding cancellations. If you need to change your schedule, please know that we cannot guarantee the exact time you want. Please make arrangements with the Front Desk and allow at least two weeks hours to implement the new schedule.