New Class Enrollment

Student's Name *

First Name Last Name

Age ("A" if Adult) *

Contact Name *

First Name Last Name

Phone Number *

Area Code Phone Number

E-mail *

Classes

Private Piano Hybrid Piano (Lesson/Games/Technology Lab) Strings Voice Woodwinds: Flute/Clarinet/Saxophone Brass: Trumpet/Tuba/Trombone

Length of Class

30 Minute Private 45 Minute Private 60 Minute Private

Availability

Click here for Tuition and Fees

How did you hear about us?

Web Search Drove Past School Referral from friend or family

Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE. THIS SIGNATURE IS MY ACKNOWLEDGMENT THAT I HAVE READ AND AGREE TO THE SCHOOL POLICIES. I ALSO UNDERSTAND THAT SHOULD I CHOOSE TO TERMINATE LESSONS, I MUST GIVE EIGHTY EIGHT NOTES SCHOOL OF MUSIC 1 MONTH'S TUITION NOTICE OR PAY A 1 MONTH TERMINATION FEE.

I understand pictures are taken at these events and may be used for promotional purposes ONLY on the school website or brochures.

Electronic Signature *

Comments

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