FALL 2024 BMS Registration Form

BALTIMORE MUSIC SCHOOL

FALL 2024 Registration FORM: 9/7/2024 – 1/12/2025
Student Last Name*
Student First Name*
Student D.O.B.*

MonthDayYear
Date
Address*
City*
State*
Zip*
Parent 1 - Name*
Home Phone Number*

Phone NumberPhone 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 - $63545 min x 15 Private Lessons - $84060 min x 15 Private Lessons - $1,020
Instrument Selection for 30 min:
Instrument Selection for 45 min:
Instrument Selection for 60 min:
Student Status:*
No. of Payments*

1 Payment, Early-Bird paid before Aug 101 Payment paid between Aug 11 - Aug 312 Payments, paid by Aug 31 & Oct 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 “Music School”.

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 Baltimore 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 Baltimore 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 Baltimore Music School premises. I have read, understand, and agree to all Baltimore Music School Policies and Procedures published at https://bmsmd.org
Parent Signature:*

Clear
Date:*

MonthDayYear
Date
Should be Empty:

BALTIMORE MUSIC SCHOOL