SMA Registration Form "*" indicates required fields HiddenContact InformationContact InformationParent First Name* First Parent Last Name* Last Home Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Parent primary Email* Additional Email Phone Number*I am a SWBTS student, employee, or alumnus* Yes No SWBTS ID Number* HiddenStudent Information: General AdmissionStudent Information: General AdmissionStudent First Name* First Student Last Name* Last Age* Grade* Gender*- Select one -MaleFemaleChoose One* This is a returning student This is the student’s first semester Classes*Private LessonsInstrument for Private Lessons*- Select one -CelloDouble BassDrumFrench HornGuitarPianoViolaViolinVoiceTeacher Preference*No PreferenceDonna Hopson - PianoJordan Boegner - PianoIvan Rustandi - PianoAnna Kim Lee - PianoLois Ling - PianoYing Miao - PianoAlfred Situmorang - PianoJennifer Kim - PianoSojin Park - PianoJihye Cheon - PianoAoosenla Jamir - PianoJa Mun Mai - PianoJeremy Smith - Piano/VoiceLuke Hannah - VoiceJuhee Baek - VoiceLina Cole - VoiceTimothy Edmond - VoiceDr. Douglas - GuitarMatthew Naizer - GuitarScott Stice - GuitarRachel Tomlinson - GuitarTaeyong Lee - DrumGershom Mukisa - DrumNelly Juarez - French HornPeng Benny Wang - All StringsLessons and Tuitions*- Select one -7 weeks of 30-minute lessons | $1757 weeks of 45-minute lessons | $25514 weeks of 30-minute lessons | $34514 weeks of 45-minute lessons | $520Would you like to add another student or sign this student up for additional lessons?* Yes No Hidden1 Next Student/Lesson InfoNext Student/Lesson Info Student First Name* First Student Last Name* Last Age* Grade* Gender*- Select one -MaleFemaleChoose One* This is a returning student This is the student’s first semester Classes*Private LessonsInstrument for Private Lessons*- Select one -CelloDouble BassDrumFrench HornGuitarPianoViolaViolinVoiceTeacher Preference*No PreferenceDonna Hopson - PianoJordan Boegner - PianoIvan Rustandi - PianoAnna Kim Lee - PianoLois Ling - PianoYing Miao - PianoAlfred Situmorang - PianoJennifer Kim - PianoSojin Park - PianoJihye Cheon - PianoAoosenla Jamir - PianoJa Mun Mai - PianoJeremy Smith - Piano/VoiceLuke Hannah - VoiceJuhee Baek - VoiceLina Cole - VoiceTimothy Edmond - VoiceDr. Douglas - GuitarMatthew Naizer - GuitarScott Stice - GuitarRachel Tomlinson - GuitarTaeyong Lee - DrumGershom Mukisa - DrumNelly Juarez - French HornPeng Benny Wang - All StringsLessons and Tuitions*- Select one -7 weeks of 30-minute lessons | $1757 weeks of 45-minute lessons | $25514 weeks of 30-minute lessons | $34514 weeks of 45-minute lessons | $520Would you like to add another student or sign this student up for additional lessons?* Yes No Hidden2 Next Student/Lesson InfoNext Student/Lesson Info Student First Name* First Student Last Name* Last Age* Grade* Gender*- Select one -MaleFemaleChoose One* This is a returning student This is the student’s first semester Classes*Private LessonsInstrument for Private Lessons*- Select one -CelloDouble BassDrumFrench HornGuitarPianoViolaViolinVoiceTeacher Preference*No PreferenceDonna Hopson - PianoJordan Boegner - PianoIvan Rustandi - PianoAnna Kim Lee - PianoLois Ling - PianoYing Miao - PianoAlfred Situmorang - PianoJennifer Kim - PianoSojin Park - PianoJihye Cheon - PianoAoosenla Jamir - PianoJa Mun Mai - PianoJeremy Smith - Piano/VoiceLuke Hannah - VoiceJuhee Baek - VoiceLina Cole - VoiceTimothy Edmond - VoiceDr. Douglas - GuitarMatthew Naizer - GuitarScott Stice - GuitarRachel Tomlinson - GuitarTaeyong Lee - DrumGershom Mukisa - DrumNelly Juarez - French HornPeng Benny Wang - All StringsLessons and Tuitions*- Select one -7 weeks of 30-minute lessons | $1757 weeks of 45-minute lessons | $25514 weeks of 30-minute lessons | $34514 weeks of 45-minute lessons | $520Would you like to add another student or sign this student up for additional lessons?* Yes No Hidden3 Next Student/Lesson InfoNext Student/Lesson Info *discounts provided by multi-student/class or SWBTS IDStudent First Name* First Student Last Name* Last Age* Grade* Gender*- Select one -MaleFemaleChoose One* This is a returning student This is the student’s first semester Classes*Private LessonsInstrument for Private Lessons*- Select one -CelloDouble BassDrumFrench HornGuitarPianoViolaViolinVoiceTeacher Preference*No PreferenceDonna Hopson - PianoJordan Boegner - PianoIvan Rustandi - PianoAnna Kim Lee - PianoLois Ling - PianoYing Miao - PianoAlfred Situmorang - PianoJennifer Kim - PianoSojin Park - PianoJihye Cheon - PianoAoosenla Jamir - PianoJa Mun Mai - PianoJeremy Smith - Piano/VoiceLuke Hannah - VoiceJuhee Baek - VoiceLina Cole - VoiceTimothy Edmond - VoiceDr. Douglas - GuitarMatthew Naizer - GuitarScott Stice - GuitarRachel Tomlinson - GuitarTaeyong Lee - DrumGershom Mukisa - DrumNelly Juarez - French HornPeng Benny Wang - All StringsLessons and Tuitions*- Select one -7 weeks of 30-minute lessons | $1757 weeks of 45-minute lessons | $25514 weeks of 30-minute lessons | $34514 weeks of 45-minute lessons | $520Would you like to add another student or sign this student up for additional lessons?* Yes No Hidden4 Next Student/Lesson InfoNext Student/Lesson Info Student First Name* First Student Last Name* Last Age* Grade* Gender*- Select one -MaleFemaleChoose One* This is a returning student This is the student’s first semester Classes*Private LessonsInstrument for Private Lessons*- Select one -CelloDouble BassDrumFrench HornGuitarPianoViolaViolinVoiceTeacher Preference*No PreferenceDonna Hopson - PianoJordan Boegner - PianoIvan Rustandi - PianoAnna Kim Lee - PianoLois Ling - PianoYing Miao - PianoAlfred Situmorang - PianoJennifer Kim - PianoSojin Park - PianoJihye Cheon - PianoAoosenla Jamir - PianoJa Mun Mai - PianoJeremy Smith - Piano/VoiceLuke Hannah - VoiceJuhee Baek - VoiceLina Cole - VoiceTimothy Edmond - VoiceDr. Douglas - GuitarMatthew Naizer - GuitarScott Stice - GuitarRachel Tomlinson - GuitarTaeyong Lee - DrumGershom Mukisa - DrumNelly Juarez - French HornPeng Benny Wang - All StringsLessons and Tuitions*- Select one -7 weeks of 30-minute lessons | $1757 weeks of 45-minute lessons | $25514 weeks of 30-minute lessons | $34514 weeks of 45-minute lessons | $520HiddenPolicies and FormsPolicies and Forms Attendance and Make-up Policy*Schedules for private lessons are very tightly organized. We ask, therefore, that you make every effort to have your child at the private lesson for which he/she is scheduled and to arrive promptly. In the interest of safety, each child should be taken to and picked up directly from the teacher. Make-up lessons are only given for lessons missed due to illness or family emergency. Please contact your teacher immediately to let them know your student will not be able to attend the lesson due to the illness or family emergency. Sports events, parties, or other extracurricular activities do not justify receiving a make-up lesson. If the teacher must miss for any reason, a make-up lesson will be scheduled. SMA operates on a semester system (14 weeks), and no part of the tuition can be returned for students who drop in the middle of the semester. I agree to the attendance and make-up policy. Personal Instrument Required*I understand that I must have our own instrument at home which the student will be able to practice on during the week. I understand that SMA does not provide or rent instruments. A student may not take lessons if they do not have an instrument at home. I agree. No Use of Cowden Hall*I understand that students are not allowed to use Cowden Hall and the music building facilities to practice during the week. Students may not use any rooms or pianos for their SMA practice. I agree. Parent Visit Policy*Parents are welcome to visit their children’s private lessons. Parents are also encouraged to maintain close contact with the teacher and may call or email the teacher if questions arise. Your child’s progress is important to us, and we anticipate working together to provide your child with quality music education. I agree to the parent visit policy. Tuition*Tuition will be paid in full for the semester. A late fee of $20.00 will be charged after the due date listed for the semester. Payment amounts for each type of lesson are listed on swbts.edu/musicacademy Payment can be made via PayPal, or with checks. Checks, money orders, or cashier’s checks made payable to Southwestern Baptist Theological Seminary (SWBTS) can be placed in the lockbox located across the hall from Cowden Hall Rm 111. Please do NOT put cash in the lockbox. I agree to the tuition policy. Purchase of Music*Parents will be informed by the teacher when the student needs new music. The name and level of the book(s) will be given. The parents will be responsible for purchasing the required books in a timely fashion. Online possibilities include: amazon, sheet music plus, or direct from the publisher. I agree to the purchase of music policy. Practice Expectations*Musical study is the development of both aural and physical skills. Regular and adequate practice time is crucial. Beginning students should practice twenty minutes a day, 5 days a week. Practice should quickly be increased as skills develop, adding at least 10 minutes per year studied, for 5-6 days a week. Practice time also includes assigned theory worksheets or pages in a theory book. I agree to the practice expectations policy. Media Release Form*Dear Parent, Your child might be selected to represent SMA/SWBTS in our media outlets. His/her picture or videos may be used in advertising for our academy through the use of print media such as brochures and fliers or through the SWBTS website and social media outlets. With your consent, the photographs or videos will be released to SMA/SWBTS to be used for these purposes. No fee, royalty, or other compensation will be given for the use of your child’s photograph. There is no term limit on the use of the picture. Student’s names will not be used. I agree to the media release form. I do not agree to the media release form. Safety and Health Guidelines*Come to Lessons Symptom Free: 1. Students must not display any symptoms of any illness, including but not limited to: fever or chills, cough, vomiting or diarrhea, pink eye, and the like. 2. If the student has stayed home from school due to illness, do not bring them to lessons. 3. Students must not have been exposed to someone who has symptoms related to Covid-19 or has tested positive. I agree to the safety and health guidelines policy, and agree to follow these rules and procedures. HiddenPayment InformationReview of Tuition for your convenience Summer 2024 Tuition Lesson TypeRate7 weeks of 30-minute lessons$1757 weeks of 45-minute lessons$2554 weeks of 30-minute lessons$34514 weeks of 45-minute lessons$520 Payment can be paid at a later date via PayPal on the tuition page.Name of person on PayPal account or check* Type of Payment*- Select one -CheckPaypalPaypal at a later dateChecks, money orders, or cashier’s check made payable to Southwestern Baptist Theological Seminary (SWBTS) can be placed in the lockbox located across the hall from Cowden Hall room 111. Please do NOT put cash in the lockbox.TotalAmount to be paid now via PayPal on the next screen TotalAmount to be paid later via PayPal TotalAmount to be paid on check EmailThis field is for validation purposes and should be left unchanged. Δ
