Register Fall 2007 - Spring 2008!


Fall 2007-Spring 2008 Registration Form
* indicates required fields 
  *Applicant's First and Last Name:
  *Parent or Legal Gaurdian's Name(s):
  *Mailing Address (Street or PO Box):
  *City:
  *State:
  *Zip Code:
  *Home Phone:
  *Work Phone:
  *Cell Phone:
  *E mail:
  *Age (if minor):
  *Male ____ Female _____:
  *Grade in Fall '07:
  *Applying For:  Private Piano
 Group Piano/Keyboard
 Private Voice
 Group Voice
 Private Guitar
 Private Orchestra Instrument
 Private Band Instrument
 Homeschooler's program
 Christmas Special - 20 lessons
  *Please Note:  if there is no group class available, a private class will be an option
  *Tutition Rates (Sept '07-June '08 term):  Private Lesson Program: $1120.00
 Group Lesson Program: $875.00
 Homeschooler's Program: $875.00
 Christmas Special - $640.00 (payment in full only - $565 after discount)
  *Tuition Payment Options:  Option 1: Payment in Full
  *Please go to policies/dep pg to pay dep & reg fee:  By checking here I agree to the terms and policies as stated on policies page of this website
  *About the deposit:  Dep must be pd before scheduling; it will be refunded if a mutually agreeable schedule can't be made
  *About the registration fee:  Registration fee required with all registration forms and is non-refundable
  Please indicate days and times you perfer:
  Please voice any questions or concerns here:
  For Office Use only:  Total number of classes:
  For Office Use only:  Date of First Class