STUDENT REGISTRATION FORM

Student Information
Student Name *
Student Name
Student Address *
Student Address
Home Phone
Home Phone
Birthday *
Birthday
Parent Information
Who may we thank for referring you? (if applicable)
Mother's Name
Mother's Name
Mother's Cell Phone
Mother's Cell Phone
Father's Name
Father's Name
Father's Cell Phone
Father's Cell Phone
Class/Lesson Registration
Click on the items you are registering for.
Private Lessons
Classes
Payment Information
Name of person responsible for payments
Name of person responsible for payments
Address of person responsible for payments (if different from student)
Address of person responsible for payments (if different from student)
Terms & agreement
By signing this registration form, you are agreeing to our Terms and Agreement.
Below are some bullet points of the Terms and Agreement

  • Tuition is based on enrollment and not attendance.
  • Holiday closures are indicated on Lochwood's Calendar.
  • Books and materials are not included in tuition price.
  • Children under my care will be supervised at all times.
  • I can stop or pause lessons at any time but must give notice per our Drop Notice policy.
  • Lochwood Academy reserves the right to use any photograph/video taken at our teaching locations or at any event sponsored by Lochwood Academy. Any     parent or student who does not wish to have their image recorded or photographed should make their wishes known in writing to the Office of Lochwood     Academy, office@lochwoodacademy.com