Course Registration Form

Student Registration Form

Fill out the form carefully for registration
Student Name

First NameLast Name
Birth Date

MonthDayYear
Student E-mail
Mobile Number

Area CodePhone Number
Phone Number

Area CodePhone Number
Courses
Preferred Time (Between 9am-4:30pm)

:HourMinutesAM/PM Option
Additional Comments

My Products

Registration Fee$35.00

Weekly 30 Minute Lesson$30.00

Quantity

Weekly 45 Minute Lesson$45.00

Quantity

Weekly 60 Minute Lesson$60.00

Quantity

Group Lesson - 1 Hour Weekly$20.00

Quantity

Semester Rate 18 Lessons - 30 Minutes$515.00

Semester Rate 18 Lessons - 45 Minutes$785.00

Semester Rate 18 Lessons - 60 Minutes$1,040.00

Recital Fees$10.00

We encourage all of our students to participate in our recitals both in the winter and the fall, but due to the rising cost of the awards given at these recitals, we are forced to apply a fee of $10.00 per student to cover these costs, per recital.

Total $0.00

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Student Registration Form

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