TWEEN Program; Piano

These lessons will include traditional studies of notation, theory, and staff music, which is easily transferable to other instruments. Sessions can be grouped (up to 3) or individual for those who wish to move faster and may have a piano to practice on at home.

Tuesday, January 7th

Tuesday, January 14th

Tuesday, January 21st

Tuesday, January 28th

Tuesday, February 4th

Tuesday, February 11th

Tuesday, February 18th (NO CLASS)

Tuesday, February 25th

Tuesday, March 4th

Tuesday, March 11th

Tuesday, March 18th

Student Name

First NameLast Name

Birth Date

MonthDayYear

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

E-mail

example@example.com

Mobile Number

Format: (000) 000-0000.

Transportation*

GroupedPrivate

Medication*

If your child requires an emergency medication we will need all forms/paperwork and medication in hand before they begin their first day of classes.

If your child requires any emergency medications, what are they?

Piano is a 10 SESSION course (GROUPED - 30min lessons) for a total of $300.00

Deposit/payment of $150.00 is required for enrollment by 12/09. Second installment payment is due 02/03 in the amount of $150.00

(PRIVATE LESSONS = 30min lessons = $500.00 total)

Deposit/payment of $200.00 is required for enrollment by 12/09. Second installment payment is due 02/03 in the amount of $300.00

I will pay in two installments for GROUPED lessons - $150.00/$150.00I will pay in two installments for PRIVATE lessons - $200.00/$300.00I will pay in full for GROUP lessons - $300.00I will pay in full for PRIVATE lessons - $500.00

Payments may be made by check to BASE for $150.00 (deposit/1st payment) or $300.00 (group) / $500.00 (private)

or

Paypal for $155.00/$305.00/$505.00 (this price includes the Paypal processing fee).
The paypal email address is alysa@basekids.com or you can scan the QR code

I give my child permission to attend the B.A.S.E. Tween Program at South Middle School. My child will be dismissed to the B.A.S.E. program directly after school (2:35pm) and check-in to the program by either walking downstairs to the main lobby (if attending South Middle School), getting on the B.A.S.E. bus (if attending East Middle School), or being dropped off by an adult no later than 3:00pm.