Jan's Piano Studio - Registration

™

Name *
Phone *
email *
Comments

Will you be attending the open studio/covered dish dinner on the September 6? Yes No

TUITION PAYMENT OPTION*

Please indicate only 1 choice
1 payment @ $690.00 due August 27
2 payments @ $345.00 due August 27 & January 15
4 payments @ $172.50 due August 27, November 15, January 15, April 15
8 payments @ $ 86.25 due the 27th of August - 15th of November & January - April

IF AT ALL POSSIBLE PLEASE CHOOSE 1, 2, or 4 PAYMENTS.
* payment amount is for tuition only,
Additional fees, such as books, competition fees, etc. are added as necessary

PLEASE READ

Due to the various requests I have already received, it appears that the schedule this year may require a "major overhaul." 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 include as much information regarding your child's schedule as possible below.

Please indicate your child’s schedule below, including activities for the entire year.
Even if you do not know times of an activity, please still list the activity.
Please supply as much information as possible.

Earliest time you are available for a lesson:

Latest time you are available for a lesson:

MONDAY:

TUESDAY:

WEDNESDAY:

THURSDAY:

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

Please return no later than August 27
REMINDER: first tuition payment is due with registration
LESSONS BEGIN THE WEEK OF September 10

NOTE: You may download and print this form in MS Word by clicking here or Adobe PDF here.

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