Student Registration
School-Age Students, Private Division
Welcome to Bellevue Academy of Arts & Music
This form is for school-age students under 18 who have received an approval code to officially enroll in the Private Division of Bellevue Academy of Arts & Music programs. For preschool students or adult participants, please contact us to be directed to the appropriate enrollment form.
Approval Code
*
Enter the code to activate the form.
Student is
*
Male
Female
Date
-
Month
-
Day
Year
Date
Student Full Name
*
First Name
Last Name
Grade
*
School Grade
K
1
2
3
4
5
6
7
8
9
10
11
12
School grade for September 2025
School Currently attending
*
School in September 2025
Previous experience(s) in the field(s) which I am applying for is,
*
years
months.
Teacher Request
*
Yes
No
Name of the teacher
Parent / Guardian Information
Students who are 18 years old and up, please fill in your additional information.
Name
*
First Name
Last Name
Relationship
*
Phone
*
Please enter a valid phone number.
Parent Email
*
Please provide your main email for communication purposes.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Program Registration
I am registering for (select all that apply):
*
Private Piano Lesson
Private Violin Lesson
Theory/History Class
Ensembles & Choir
Camps
Afterschool Program
Fine Arts
Adult Class
I am aiming for: (you may change later)
*
Division 1, to become an Amateur Musician
Division 2, to become an Associate Musician
Division 3, to become an Elite Professional Musician
Undecided, I am joining for special programs only
Registration Fee
Registration Fee
*
prev
next
( X )
Family Registration
Yearly
$
100.00
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Privacy and Consent
Your responses to questions #1 and #2 will not affect your child’s eligibility for enrollment.
1. I give permission for my child's full name to be used on the studio website and related materials (the first name is used without consent).
*
YES
NO
2. I give permission for my child's picture to be used on the studio website and related materials.
*
YES
NO
Enrollment Terms & Acknowledgment
*
Next Step: Waiver
Should be Empty: