Bagpipes for Beginners Program

Bagpipes for Beginners Registrant Information

I am registering for (you may select more than one program here if classes are for the same student):

Student Name

First NameLast Name

E-mail

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

This registration is for a student who is a:

Emergency Contact Information

Emergency Contact's Name

First NameLast Name

Relationship to Attendee:

Emergency Contact's Phone Number

Format: (000) 000-0000.

Other Program Details

Do you have any medical problems, allergies, learning disabilities, etc., we need to be aware of? If yes, please describe below.

Would you like to borrow a chanter for this class?

How did you hear about Bagpipes for Beginners?

Please verify that you are human

Check the box next to each item you would like to add to your basket for this student. If you are registering for one class series, just add the top program for $192. Any additional program series for the same student can be added at the $96 price listed below:

Bagpipes for Beginners Program - Student Tuition

Tuition includes the spring quarter classes (April-June), printed materials to keep, and the use of a practice chanter for the duration of the series (and to take home during the series).

$192.00

Bagpipes for Beginners Program - Additional Tuition

Tuition includes the spring quarter classes (April-June), printed materials to keep, and the use of a practice chanter for the duration of the series (and to take home during the series).

$96.00

Bagpipes for Beginners Program - Second Additional Tuition

Tuition includes the spring quarter classes (April-June), printed materials to keep, and the use of a practice chanter for the duration of the series (and to take home during the series).

$96.00

Scholarship Fund Donation

Optional donation to support scholarships for bagpiping programs. Thank you!

$10.00 Quantity

Enter coupon

Subtotal

Tax

Total

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Check the box next to each item you would like to add to your basket for this student. If you are registering for one class series, just add the top program for $192. Any additional program series for the same student can be added at the $96 price listed below:*

Check the box next to each item you would like to add to your basket for this student. If you are registering for one class series, just add the top program for $192. Any additional program series for the same student can be added at the $96 price listed below: