Register Fall 08-Spring 09!!!
Fall 2008- Spring 2009 Registration Form
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indicates required fields
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Applicant's First Name:
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Applicant's Last Name:
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Parent or Legal Gaurdian's Name(s):
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Mailing Address (Street or PO Box):
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City:
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State:
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Zip Code:
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Home Phone:
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Work Phone:
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Cell Phone:
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E mail:
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Age (if minor):
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Gender:
Male
Female
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Grade in Fall '08:
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Applying For:
Private Piano
Group Piano
Private Voice
Private Guitar
Write Your Own Songs!
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Please Note:
if there is no group class available, a private class will be an option
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Tuition Rates (Sept '08 - June '09):
Private Lesson Program: $1207.50
Group Lesson Program: $910.00
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Tuition Payment Options:
Option 1: Full 1 year payment (Sept-June) (5% off if paid in full by Aug.31)
Option 2: Two payments (8/31/08 & 2/1/09) after deposit (2% off if both payments are made on time)
Option 3: Monthly Payments - Due 5th of each month
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Please indicate the payment method you would like:
Pay by check to our payment office
Pay using PayPal (debit, credit, e-check)
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Please go to policies/dep pg to pay dep & reg fee:
By checking here I agree to the terms and policies as stated on the policies page of this website.
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About the deposit:
Dep must be pd before scheduling; it will be refunded if a mutually agreeable schedule can't be made
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Please indicate the group day/time you would like:
Monday 3:30 - 4:10
Tuesday 3:30 - 4:10
Wednesday 3:30 - 4:10
Thursday 3:30 - 4:10
Friday 3:30 - 4:10
Saturday 1:00 - 1:40
Saturday 1:40 - 2:20
I am not applying for group lessons
Indicate possible days/times for private lessons:
Please voice any questions: