CMA Private Lesson Registration Form
Instrument and Years of Experience
Age, Grade, School Currently Attending
Do you qualify for free/reduced lunches at school?
Please write a statement as to why you think you qualify for a Private Lesson Scholarship.
For data purposes only, please fill out the following questions:
(CMA does not discriminate on the basis of race, religion, gender, sexual orientation, or national or ethnic origins.)
Asian or Pacific Islander
Do Not Fill This Out