SPRING'22-JFMS Registration Form

JANNA FRIEDMAN MUSIC SCHOOL

SPRING 2022 Registration FORM
Student Last Name *
Student First Name *
Student D.O.B. *

Month Day Year
Date
Address *
City *
State *
Zip *
Parent 1 - Name *
Home Phone Number *

Phone Number Phone Number
Parent 1 Cell Phone
Parent 1 -Work Phone
Parent 1 - Email Address *
example@example.com
Parent 2 - Name
Parent 2 - Cell Phone
Parent 2 - Work Phone
Parent 2 - Email Address
example@example.com
Select Lessons Option: *

30 min x 15 Private Lessons - $595 45 min x 15 Private Lessons - $795 60 min x 15 Private Lessons - $970
Instrument Selection for 30 min:
Instrument Selection for 45 min:
Instrument Selection for 60 min:
Student Status: *
No. of Payments *

1 Payment, Early-Bird by 12/20 1 Payment after 12/21 2 Payments, due 1/15 & 3/15
Tuition Subtotal 1:
(Auto-Calculated based on your selections)
Tuition Subtotal 2:
(Auto-Calculated based on your selections)
Total Due with Registration Fee or Late Fee:
(Auto-Calculated based on your selections)
REGISTRATION OPTIONS:

1) In-Person: Bring Registration Form with payment to class, cash or check payable to “JFMS”.

2) By Email: Send a photocopy of both sides of your check to music@bmsmd.org.

3) By Zelle: Email Registration Form to music@bmsmd.org. Send funds via Zelle transfer to music@bmsmd.org.
I consent and agree that the above student's name, picture, voice, or video may be used by J.Friedman Music School of Suhoy LLC for school publications, on the school Internet website, in school-related video productions, or for news and other publications. I hereby release J.Friedman Music School of Suhoy LLC and all of its officers, directors, and employees from all liability for personal injury, illness, or property damage occurring on or off J.Friedman Music School premises. I have read, understand, and agree to all J.Friedman Music School Policies and Procedures published at http://bmsmd.org
Parent Signature: *

Clear
Date: *

Month Day Year
Date
Should be Empty:

JANNA FRIEDMAN MUSIC SCHOOL