Jan's Piano Studio - Registration

™

Name *
Phone *
email *
Comments

TUITION PAYMENT OPTION*

Please indicate only 1 choice
1 payment @ $800.00 due Aug 25
2 payments @ $400.00 due Aug 25 & Jan 25
4 payments @ $200.00 due Aug 25, Nov 25, Jan 25, Apr 25
8 payments @ $100.00 due the 25th of Aug, Sep, Oct, Nov, Jan, Feb, Mar, Apr

IF AT ALL POSSIBLE PLEASE CHOOSE 1, 2, or 4 PAYMENTS.
* payment amount is for tuition only and $50 book deposit
Payments may be made in form of check, on line banking and/or cash

I won't know anything definite until I have received all registrations back. All effort will be made
to place your child in the most appropriate class based on level, age, and scheduling conflicts.
In order to do this, please be open to as many available times and days as possible.

Please list earliest starting time, and latest ending time for each day below that
your child is available for lessons. Available lesson times 2:45-9:00

Earliest time you are available for a lesson:

Latest time you are available for a lesson:

MONDAY:

TUESDAY:

WEDNESDAY:

THURSDAY:

OTHER ACTIVITIES:

COMMENTS & CONCERNS

Lesson time last year? Is this still okay? Yes No

Please return no later than August 25
REMINDER: first tuition payment is due with registration
LESSONS BEGIN THE WEEK OF September 13

NOTE: You may download and print this form in Adobe PDF here.

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