Program Registration – Seacoast Academy of Music

Satellite School Registration

Student's Name
First Last
Age
Instrument or Class*
School
Grade
Preferred Teacher
Preferred Day & Time
Media Release*
- Yes
- No
Permission for SAM to photograph or audio/videotape classes, lessons and other activities without advance notice, and to publish royalty free in its print, audio and electronic promotions, including SAM's website. No personal information including names will ever be published.
Parent's Name
First Last
Billing Address*
Street Address Address Line 2 City State ZIP Code
Email*
Primary Phone Number*
Alternate Phone Number
Satellite School Registration
Your Satellite School
Click here to select Cornerstone, Swasey, Lincoln Street School or Sparhawk School. Do not include registration fee.
Cornerstone School Classes
Swasey Central School Classes
Lincoln Street School Classes
Sparhawk School Classes
Satellite School 6 Weeks
6 weeks of private lessons
Satellite School Private Lessons
Total
$0.00
Additional Comments
Please tell us how you heard about us
Policies & Payment Terms*
- I have read and agree to the Seacoast Academy of Music Policies and Payment Terms

sam@seacoastacademyofmusic.org

P.O. Box 726

North Hampton, NH 03862

603-964-3660