Diploma Program Registration

Parent/Guardian Email Address*

Enter Email Confirm Email

Parent/Guardian Name*

First Last

Student Name*

First Last

Student ID Number*

Please enter a number from 10000000 to 99999999.

(This number can be found on your student tuition bill)

Student Email (If Different From Above)

Phone Number

Primary Instrument*

Secondary Instrument (If Applicable)

Current School Grade (N/A, if not currently enrolled)*

Expected Year of High School Graduation*

Please enter a number from 2000 to 3000.

*Adult students please indicate which year you would like to complete your Diploma by.

Anticipated Diploma*

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