"TO PROVIDE A STRONG FOUNDATION
FOR THE MUSICIAN OF TOMORROW”….

Confidential Student Registration Form

Please use this form to submit your application for enrollment into The Music School Of Wilmington. Be sure to fill out all required information.

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Thank you for your cooperation.

  • For Student Enrollment: Please provide all Requested Information
    Are you a New Student?
    Or Former Student?
    Instrument of Study
    Tuition Requested
    (Lesson Duration, Monthly, Yearly)
    Students Full Name
    Date of Birth
    Parents Name
    (if applicable)
    E-mail Address
    Be sure this address will accept our email.  We reply to all application requests but are not responsible for our email reaching you due to your email filters
    Street Address
    City
    Zip Code
    Home Phone
    Work (Cell)  Phone
    Emergency Contact  Phone
    School Currently Attending
    (if applicable)
    Please tell us what instruments you play and current or previous instructors:
    Please tell us how you came to hear about The Music School of Wilmington:
    Note: By Sending us this registration form, you agree to our
    Terms and Conditions as outlined in out contract found here
  • Additional Questions or Comments you may have: 


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Copyright © 2007 Music School of Wilmington. All rights reserved.
Revised: 09/02/08

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The Music School Of Wilmington
6624 Gordon Road Suite #A,
Wilmington N.C. 28411
Main Information line: 910.350.3170
FAX: 910.350.3171