Student Interest Application

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Hello prospective music students (and parents)!

We are glad you are interested in taking lessons through Holy Cross Music Academy. We are now taking interest form submissions as we plan to open in January 2023, and we will begin pairing students with instructors as soon as we can! Please fill out the (attached/below) form to let us know more about yourself, what instruments you are interested in, what kind of music you would like to excel in. We cannot wait to pair you with an instructor who will help you experience the joy of making music and reach your goals as a musician!
Thank you for your interest in being a part of the Holy Cross Music Academy.

PERSONAL INFORMATION

Student's First Name

Student's First Name is required.

Student's Middle Name

Student's Last Name

Student's Last Name is required.

Student's Birth Date

/ / Student's Birth Date cannot be a future date.

Student's Gender

Student's Gender is required.

Parent's First Name (if the interested student is a child)

Parent's Last Name

Address

Parent's Email (if the interested student is a child)

Email address is not valid

Parent's Email (if the interested student is a child) is required.

Phone or Parent's Phone

Phone or Parent's Phone is required.

Desired Instrument (can select more than one)

Guitar Drums Voice Piano (Pop-chord approach) Classical Piano Bass Ukulele Other (specify below)Desired Instrument (can select more than one) is required.

Please list the student's musical interests (Favorite artists, songs, genres, etc.)

Please list the student's musical interests (Favorite artists, songs, genres, etc.) is required.

How did you hear about us?

Social Media Personal Recommendation Sign Daniel Island News OtherHow did you hear about us? is required.

Submit

Inquiry Entry

Contact Us

Please use this form by entering your name and the topic of your request. We look forward to speaking with you!

Campus

Campus is required.

First Name

First Name is required.

Last Name

Last Name is required.

Email address is not valid

Email is required.

Mobile Phone

Gender

Male Female

Gender is required.

Address

First Name

Last Name

Email Address

Phone (optional)

Topic

Inquiry

Submit

Church of the Holy Cross
(843) 883-3586

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