Music Box Foundation Winter Registration

Registration Form

Saturdays starting on January 13th-March 2nd. Showcase performance will be TBD! Weekly sessions held at 6843 S. Harper Chicago, IL.
NewReturning
Participant Name*

First NameLast Name
Gender*
Birthdate*

MonthDayYear
Date
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Program Information

All lessons listed below are for group sessions. $50 Instrument rentals are available in the office for most instruments.
1:30 PM - 3:30 PM

BRASS, WOODWINDS, DRUMLINE, GUITAR
BrassWoodwindsDrumlineGuitarPiano

Terms & Agreements
I Agree
I Agree
Attendance is crucial to success. I understand that consistent attendance at the session is crucial to the program’s success, and will make every effort to insure the participant is present for all class meetings and scheduled performances. In the event that my child(ren) is unable to attend a class or must leave early, I agree to inform Music Box Foundation with as much advance notice as possible. I understand that failure to attend class consistently, the participant may be dismissed from the program or ineligible to play in the final performance. I have read and agreed to all the information contained in this agreement. I agree to allow my information to be used in aggregate for reporting and analysis on this program.*

I Agree
Payment Options
$100 for new students

$60 for returning students

A non-refundable $25 desposit fee is required in order to register. Participants have the option to submit a full payment at the end of this form or establish a payment plan with the office. Payment required for each course.
I understand

Payment Submission*

Deposit Fee

$25.00

New Student Program

$100.00

Returning Student Program

$60.00

Payment Plan

$ Free

Total

$0.00

Credit Card

Apple Pay

Registration Form