APA Registration

2012 Registration
Academy of Performing Arts
Collierville First Baptist Church

We're looking forward to a great APA semester!

For more information about tuition, fees and schedules, check the Tuition and Schedule page. Fall, Spring and Summer tuition varies by semester and full payment due dates for tuition are posted there.

A semester registration fee of $10 (+$.61 Google Checkout transaction fee) must accompany this form.

If you have questions about the Academy of Performing Arts, please contact the CFBC Worship Ministry Office at (901) 853-2668 or e-mail Laura Junkins.

First Name
Last Name
Email Address
Phone Number	(Format: 999-999-9999)

Enrollment Semester
Student's Name
Address
City
State
ZIP
Grade
Date of Birth (m/d/y)
Student's School
Mother's Name
Cell Phone (Mother)
Father's Name
Cell Phone (Father)
Home Phone
Instruction Requested
Preferred Lesson Day (1st & 2nd choice)	Monday Tuesday Wednesday Thursday Friday
Preferred Lesson Time
Lesson Request Details
Tell Me More about...	CFBC Worship Orchestra CFBC Praise Orchestra
Returning Student?	Yes No
Current Teacher
Previous Lesson Day/Time
Request Teacher/Time Change?	Yes No
If Yes, to Which Teacher/Time?

First Name
Last Name
Email
Phone
Address

City
State/Province
Country
Postal Code

Credit Card Type
Credit Card No.
CCV
Expiration Date	/
	or Cancel

APA Registration

Current Series

2012 Registration
Academy of Performing Arts
Collierville First Baptist Church

Registration Payment

Billing Information

Academy of Performing Arts

APA Registration

Current Series

2012 Registration Academy of Performing Arts Collierville First Baptist Church

Registration Payment

Billing Information

Academy of Performing Arts

2012 Registration
Academy of Performing Arts
Collierville First Baptist Church