BTS Academy Registration Form

Student Name *

First Name Last Name

Student Name

First Name Last Name

Parent Name *

First Name Last Name

Parent Name

First Name Last Name

Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Email *

example@example.com

Email

example@example.com

Birth Date *

Month Day Year

Birth Date

Month Day Year

Service/s Needed *

Multiple selections possible

What day/s work best for class?

Monday Tuesday Wednesday Thursday Friday Saturday Sunday

When would you like to start classes? *

Class Time Options

Which class works best for you? *

Weekly 40-Minute Online Music ( $ 169.99 for the first month then, $ 139.99 for each month )

Weekly 40 Minute Online Music Class, Piano, Voice, Guitar, Brass + More

Weekly 75-Minute Online Music ( $ 259.99 for the first month then, $ 229.99 for each month )

Weekly 75 Minute Online Music Class, Piano, Voice, Guitar, Brass + More

Twice Weekly 40-Minute Online Music ( $ 269.99 for the first month then, $ 239.99 for each month )

Twice Weekly 40 Minute Online Music Class, Piano, Voice, Guitar, Brass + More

Weekly 80-Minute Online Music (2 Kid Home) ( $ 289.99 for the first month then, $ 249.99 for each month )

Weekly 80 Minute Online Music Class, Piano, Voice, Guitar, Brass + More for the household with two children

Weekly 40-Minute Online Learning ( $ 169.99 for the first month then, $ 139.99 for each month )

Weekly 40 minute session of educational support Pre-K-12+, foreign language included

Twice Weekly 40-Minute Online Learning ( $ 269.99 for the first month then, $ 239.99 for each month )

Twice Weekly 40 minute session of educational support Pre-K-12+, foreign language included

Weekly 75-Minute Online Learning ( $ 269.99 for the first month then, $ 239.99 for each month )

Weekly 75 minute session of educational support Pre-K-12+, foreign language included

Weekly 80-Minute Online Learning (2 Kid Home) ( $ 289.99 for the first month then, $ 249.99 for each month )

Weekly 80 Minute Online session of educational support Pre-K-12+, foreign language included

30-Minute Weekly In-Home Private Class ( $ 179.99 for the first month then, $ 159.99 for each month )

Weekly 30-Minute Private Class in your home, starting at age 3.

45-Minute Weekly In-Home Private Class ( $ 229.99 for the first month then, $ 199.99 for each month )

Weekly 45-Minute Private Class in your home. Starting age 3! (Out of Range fee additional $15-$25 monthly, 25-60 mile radius from teacher)

70-Minute Weekly In-Home Private Class ( $ 249.99 for the first month then, $ 229.99 for each month )

Weekly 60-Minute Private Class in your home. Starting age 3! (Out of Range fee additional $15-$25 monthly, 25-60 mile radius from teacher)

Twice Weekly 45-Minute In-Home Private Class ( $ 369.99 for the first month then, $ 349.99 for each month )

Twice Weekly 45-Minute Private Class in your home. Starting age 3! (Out of Range fee additional $15-$25 monthly, 25-60 mile radius from teacher)

Twice Weekly 70-Minute In-Home Private Class ( $ 469.99 for the first month then, $ 449.99 for each month )

Twice Weekly 75-Minute Private Class in your home. Starting age 3! (Out of Range fee additional $15-$25 monthly, 25-60 mile radius from teacher)

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Date	Postal Code

Are you ready for your 1st class?

Comments or Questions?

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