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Registration

Please include a non-refundable registration fee of $35/person or $60/ family  with the form below.

Copy and paste this to a word document to print out or use this link to download it and print MUSIC STUDY PROGRAM Registration Form

MUSIC STUDY PROGRAM –Registration Form

Please mail this form with your check payable to:

Joanne Prescott, Director/Instructor

337 Casals Place, Ambler PA 19002

 

Date:________________

Student’s Name:_______________________________________Birthdate:_________

Parent’s Name(s):_______________________________________________

Address:______________________________________________________

City:________________________State:____________Zip Code:__________

Email Address:______________________________________________________

Phones:  Home:_____________________________Cell/Business:________________

Please check desired program:

___Beginner to Advanced piano study    OR   _____Adult piano study

 

___Class lessons   OR   ___Private lessons  ___45 min. or ___60 min.

 

___Voice/Violin lessons  ___Child      ___Adult

___15 min.  added to each piano lesson

___30 min.  lessons each week

 

PAYMENT   PREFERENCE;       ___Monthly    ___Quarterly

 

Registration fee of $________is enclosed.  I understand the first tuition payment is due on September 8th.

Signature:___________________________________________

Parent or Adult Student

Days and times available:     List according to preference

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