If you would like to sign up today,  fill out the below forms and send them in!

                                                                       ONALASKA MUSIC ACADEMY
                                                                     1052 Oak Forest Drive, Suite 380                              
                                                                              Onalaska, WI 54650                               
                                                                                    608.779.5377                        
                                                                     www.onalaskamusicacademy.com      
     
                                                                       ENROLLMENT/CONSENT FORM
                                                         How did you hear about Onalaska Music Academy?____________________________________________________________________________________________
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Name: _______________________________________ Date: ________________
Parent/Guardian Name: _______________________________________________
Address: ___________________________________________________________
City: __________________________________ State: ________ Zip:__________
Home Phone: ________________ Cell: _______________ Work: _____________
Email: _____________________________________________________________
Instructor’s Name: __________________________ Lesson Time: _____________
Student’s Birthdate: __________________________ Male/Female: ____________
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                                                               EMERGENCY CONTACT INFORMATION
1. Name: __________________ Relationship: ________ Phone: ______________
By signing below, you agree to the policies of Onalaska Music Academy,
LLC Signature: _______________________________________ Date: _____________                                  
Photo Waiver
At the studio we occasionally take pictures of faculty, families and students for use on the website or other print media. Full names are withheld.
I, ________________, give permission to have pictures of _________________ to
be used by Onalaska Music Academy, LLC.
Parent/Guardian Signature: ____________________________________________      

                                                                  Onalaska Music Academy, LLC.                        
                                                                    608-779-LESSONS (5377)
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