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Interested in Private Music Lessons at the William Pu Music Academy?

WPMA offers private lessons and group lessons for all ages and experience levels. Please fill out the form below and we will be in contact with you shortly. Thank you for pre-registering!

Student's Full Name *

Age *

Sex

Male
Female

Grade Level

Current School

Billing Address *

Address Line 1

Address Line 2

City

State

Zip Code

Parent's Full Name *

Parent's Cell Number

Contact Email *

Instrument *

Years of Playing

Your Achievement (All-State Orchestra, ASYO, etc.)

Name(s) of Previous Private Teacher(s)

Your Preferred Teacher at WPMA (optional)

If your preferred teacher is not available, can WPMA recommend another teacher?

How did you hear about us?

45 Minute Trial Lesson - Any Instrument

Liability Release

Completing the "Today's Date" field below, in combination with the rest of the application, constitutes your signature and agreement to our terms herein.

The undersigned releases from liability and agrees to indemnify and hold harmless William Pu Music Academy (WPMA), any of the staffs, and instructors for any and all personal injuries and property losses or damage occasioned by or in connection with any activity related to WPMA.

This release applies to, and the undersigned agrees to indemnify WPMA from any consequences related to any injury that may be suffered by any of the children of the undersigned, by the undersigned, or by any other children or adults that the undersigned may bring or cause to be brought to academy at 330 Prospect Place, Alpharetta, GA 30005.

The undersigned further agrees to abide by all the rules and regulations set by WPMA, including but not limited to the requirement that all children in the charge of the undersigned who are not participating in lessons must be supervised directly by the undersigned at all times. Children climbing or playing on furniture, structures, or other items are doing so with the permission of the undersigned.

Today's Date *

Phone

WPMA raises the bar of music education, with excellent commitment and mission to help students to achieve their higher creative potential.

Interested in Private Music Lessons at the William Pu Music Academy?

Liability Release