Once you submit this form, a GMA or SMA desk staff member will contact you to set up your lesson day and time.
You will not be charged until we have confirmed a day and time and let you know what your total will be.
Guilderland Music Academy
Scotia Music Academy
Account First Name
Account Last Name
Secondary Account Name
Student First Name
Student Last Name
Address Line 2
Birthday (Month, Day, Year)
How did you hear about us?
Do you/does your student have any special needs?
At the Guilderland and Scotia Music Academies we like to use images, and recordings of our students in our monthly newsletter, for student of the month, in Facebook posts, and in other Marketing tools.
I give permission for the image, name, and audio and/or video recording of myself / my student to be used by the Guilderland or Scotia Music Academy. Parents will always be notified when an image is selected for use.
I do not give permission for the image, audio and/or video recording of myself/my child to be used by the Guilderland or Scotia Music Academy.