PARENT(S) NAME __________________________________CHILD'S BIRTHDATE___________
STUDENT IS IN GRADE ___ OR KINDERGARTEN OR PRE-SCHOOL____
ADDRESS_______________________________________________________________
_______________________________________________________ZIP______________
HOME PHONE___________________________ CELL OR WORK_______________
E-MAIL ADDRESS_______________________________________________________
________________________________________________________________________
STUDENT IS A CONTINUING STUDENT__________A BEGINNER ___________
A TRANSFER STUDENT (IN BOOK ( ) _______
REGISTERING FOR REGULAR PROGRAM (1ST GRADE AND OLDER)________
You will need to set up your individual lesson time with a teacher.
$420 a Trimester offers eleven 30 minute individual lessons and eight 50 minute group lessons plus a concert/play-in. There are 3 Trimesters in a school year. You may add on 15 minutes at your individual lesson teacher’s rate if you want a 45 minute lesson.
I would like 30 minute lessons _________
I would like the 15 minute add-on for a 45 minute lesson___________
$210 a Trimester offers eleven 50 minute studio classes of 3 to 5 children and the concert/play-in.
The class will remain together for the school year of three trimesters.
PLEASE GIVE A 2nd CHOICE IF YOU HAVE ONE. CLASS WILL BEGIN WITH A MINIMUM OF 3 STUDENTS.
Monday at 4:00 p.m. FULL Tuesday at 1:00 p.m. _____
Tuesday at 11:00 a.m. _____ Tuesday at 5:30 p.m.______