Woodhaven School of the Arts Registration Form

Register online below. If you do not hear from us in a couple of days, or if you have questions, please call our School of Arts Director, Susan Simpson, at 919-363-7893.

 

Student's Name *
First Name
Middle
Last Name
Age *
Date of Birth (xx-xx-xxxx)
Address *
Address Line 1
Address Line 2
City
State/Prov.
Postal Code
Email*
Home Phone
Parent's Name
Cell Phone
Instrument Desired
Years of Experience
Please indicate which day(s) of the week you are available for lessons:
What is the earliest time during the day you can schedule a lesson?
Please list any health concerns of the student.