WFHEMA 21/22

Student Registration Form

Family Information
Primary Phone Number for band correspondence:*

Area CodePhone Number
Primary E-mail for band correspondence:*
Parent or Guardian's Name:*

First NameLast Name
Cell:*

Area CodePhone Number
Parent or Guardian's Name:

First NameLast Name
Cell:

Area CodePhone Number
Home Address:*

Street Address

Street Address Line 2

CityState

Zip Code
This form allows you to register up to 4 students.*

*If you have an additional student, please submit their information via email to homeschoolbandandstrings@gmail.com and notify us in the text box below.

Fees, Fundraising and Liability Release.
Band Fees

An explanation of Fees
How much do music classes cost?

You will pay:

A $75 Registration Fee Per Student at time of enrollment; $75 Registration Fee for additional student(s). There is a $150 maximum fee per family.

Monthly Tuition: (Sept - April, due by the 15th of each month)
- $60/mo tuition for the 1st student
- $40/mo for each additional student of the same family
- $30 per group. Students may attend multiple groups. A $30 fee will be applied for each individual group they attend.
Fundraising

Yearly Requirement
There is a yearly fundraising requirement of $125 per family. Please choose one option:

Participate in the WFHEMA fundraiser (After the event, if you do not meet the $125 goal, the shortage is due by the end of March.)Two $62.50 payments, due in September and JanuaryPay in full
Payments:

Payments may be brought to the band office (upstairs) and dropped in the red box or mailed to: WFHEMA, PO Box 2880, Pensacola, FL 32513. We also accept PayPal payments. Please contact the school for the PayPal information.

I understand the financial responsibilities above. I understand that if I withdraw my child before the end of the band year, I must notify, by letter or email, the Parent Board president or treasurer. I will be responsible for any tuition or fundraising fees due to the point of official withdrawal from the program. Further, I understand that the uniform that will be issued to my child is the property of WFHEMA and must be returned clean and in good condition or I will be charged the cost of dry cleaning or replacement (approximately $60). Also, I grant permission for any media captured of my child to be used in future WFHEMA publications.
Please select below to either

PAY NOW or PAY LATER.
PAY NOW OPTION: Click Below to Make an ONLINE Payment Through PayPal. Skip to PAY LATER.
prevnext( X )
Student 1 Registration Fee$75.00

Additional Student(s) Registration Fee $75.00
$150 maximum per family

Total $0.00
PAY LATER OPTION: Click Below to Pay Later by Sending a Check to our Address:

Mail check to WFHEMA, PO Box 2880, Pensacola, FL 32513.
Please check the box below*

I have read, understood, and accepted the INFORMED CONSENT and LIABILITY RELEASE and PHOTO RELEASE. I agree to be added to the WFHEMA email/mailing list.
Parent Signature:*

Clear
Date

MonthDayYear
Date
How did you hear about WFHEMA?:
Personally Referred:
Put additional student registration information below:
Type the word in the box:*
If you do not receive a CONFIRMATION EMAIL your submission was not submitted.

If all REQUIRED FIELDS are not filled in, your registration form will not submit.

You will be redirected to PayPal after you click submit to complete your payment.

Thank you!
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Student Registration Form

Band Fees

Fundraising