Student's Name ___________________Age:_______Birthday: ______Grade: _________ School: ___________ Student's past musical experiences and lessons: ______________________________ Parent or Guardian: ____________________________________________________________________________ Mailing Address: ___________________________________City: _________________ Zip Code: ____________ Phone: _______________________________________ Cell Phone: ___________________________________________ Email: ______________________________________ 2nd Email: ________________________________________ Please check the desired classes: (An example of choice time would be: Tues. between 1-4 pm. Classes are 45 min. in length, most private lessons are 30 in. The Vocal Workshop is 1 hr and 15 minutes) We will do our best to accommodate your schedule. 1st Choice 2nd Choice 3rd Choice _____Piano Class (Mon - Sat) ________________________________________________________ _____KinderKeys Ages 4/5 (Mon - Sat) ______________________________________________________ _____Guitar Class ________________________________________________________ _____Drum Class _________________________________________________________ _____Vocal Wkshp _________________________________________________________ _____Mini Mozarts Ages 2/3 (Mon - Sat)_____________________________________________________ _____Private Drum (Mon/Friday/Sat) _______________________________________________________ _____Private Piano:(Waiting List) _________________________________________________________ ______ Private Guitar: (Mon - Sat) _________________________________________________________________________ ______ Private Voice (Mon - Sat) __________________________________________________________________________ _____Private Violin (Fri) ___________________________________________________________ _____Private Brass (Tues) _____Garage Band Wkshop (Tues)___________________________________________________________ How did you find us? ___________________________________________________________________ A non-refundable down payment of $40.00 is due when registering. This down payment holds a place in a class. It will be applied as credit to the balance due which is due before the first class. CHOOSE YOUR PAYMENT PLAN: ____ Monthly Payments (due one month in advance) (invoice given monthly) Amount enclosed: ____________________ ____ Payment for entire School year (minus 5 lessons)**** (available in September only. SEE CHART**) ____ Payment for Semester (minus 2 lesson for Sept and January; minus 1 lesson for Summer)**** (Available in September and January and June summer SEE CHART to the right**) Please make checks payable to: Music Makers...For Life, Inc. ****Discounts Not available for Vocal Workshop, Garage Band Workshop, or private lessons. Available only at the beginning of a semester. Cost of books not included. For Credit Card Payments: Visa _____ Mastercard ___ Discover ___ American Express ___ Card Number ____________________________________________ Expiration ____________ Security number (from back of card)______________ ********************************************************************************** For office use only: CLASS ASSIGNMENT: Class Name: ___________________________ Day __________________ Time: _________ Deposit Check # ___________ Confirmation Sent _________ 2009/2010 |
| MUSIC MAKERS...FOR LIFE, INC. REGISTRATION FORM |
| For registration, please send or bring the below form to: Music Makers...For Life, Inc. 757 McHenry Avenue, Suite D Crystal Lake, IL 60014 |
 |
|
|
| Questions?: Please call 815-444-9444 or Email: musicmakers4life@yahoo.com |
| School-Year Hours After-school and Saturday classes consists of mostly school-age children. Toddler, Pre-school and Kindergarten students generally fall during the day hours. For more information on Pre-School age for class piano and Mini Mozarts:: Pre-School Piano (KinderKeys) Mini Mozarts |
|
| Semester or Full-Year Payment Chart CLASSES (Credits given only when semester is pd at the beginning of the semester) Semester Payments 2009/2010 August 24, 2009 - December 30, 2009 Mondays: 16 X $20.00 = $320 - $40 = $280 Tuesdays: 18 X 20.00 = $360 - $40 = $320 Wed: 17 X 20.00 = $340 - $40 = $300 Thursdays: 16 X 20.00 = $320 - $40 = $280 Fridays: 16 X 20.00 = $320 - $40 = $280 Saturdays 18 X 20.00 = $360 - $40 = $320 Semester Payments 2009/2010 January 2, 2010 - June 12, 2010 Mondays: 19 X $20.00 = $380 - $40 = $340 Tuesdays: 22 X $20.00 = $440 - $40 = $400 Wed: 22 X $20.00 = $440 - $40 = $400 Thursdays: 22 X $20.00 = $440 - $40 = $400 Fridays: 22 X $20.00 = $440 - $40 = $400 Saturdays 23 X $20.00 = $420 - $40 = $380 Semester Payments 2009/2010 Summer: June 14, 2010 - August 29, 2010 Mondays: 10 X $20 = $200 - $20 - $180 Tuesdays: 10 X $20 = $200 - $20 - $180 Wednesdays: 10 X $20 = $200 - $20 - $180 Thursdays: 10 X $20 = $200 - $20 - $180 Fridays: 10 X $20 = $200 - $20 - $180 Year Payments 2009/2010 August 24, 2009 - August 29, 2010 Mondays: 45 X $20.00 = $900 - $100 = $800. Tuesdays: 50 X $20.00 = $1000 - $100 = $900 Wed: 49 X $20.00 = $980 - $100 = $880 Thursdays: 48 X $20.00 = $960 - $100 = $920 Fridays: 48 X $20.00 = $960 - $100 = $920 Saturdays: 50 X $20.00 = $1000 - $100 = $900 |
| Payment may be made monthly, by semester, or for the school year. For the SEMESTER OR FULL YEAR PAYMENT, please see chartS below. PAYMENT MUST BE MADE IN FULL TO RECEIVE THE DISCOUNT. |
| Semester or Full-Year Payment Chart for PRIVATE LESSONS
(Credits given only when semester is pd at the beginning of the semester) Semester Payments 2009/2010 August 24, 2009 - December 30, 2009 Mondays: 16 X $25.00 = $400 - $50 = $350 Tuesdays: 18 X 25.00 = $450 - $50 = $400 Wed: 17 X 25.00 = $425 - $50 = $375 Thursdays: 16 X 25.00 = $400 - $50 = $350 Fridays: 16 X 25.00 = $400 - $50 = $350 Saturdays 18 X 25.00 = $450 - $50 = $400 Semester Payments 2009/2010 January 2, 2010 - June 12, 2010 Mondays: 19 X $25.00 = $475 - $50 = $425 Tuesdays: 22 X $25.00 = $550 - $50 = $500 Wed: 22 X $25.00 = $550 - $50 = $500 Thursdays: 22 X $25.00 = $550 - $50 = $500 Fridays: 22 X $25.00 = $550 - $50 = $500 Saturdays 23 X $25.00 = $575 - $50 = $525 Semester Payments 2009/2010 Summer: June 14, 2010 - August 29, 2010 Mondays: 10 X $25 = $250 - $25 - $225 Tuesdays: 10 X $25 = $250 - $25 - $225 Wednesdays: 10 X $25 = $250 - $25 - $225 Thursdays: 10 X $25 = $250 - $25 - $225 Fridays: 10 X $25 = $250 - $25 - $225 Year Payments 2009/2010 August 24, 2009 - August 29, 2010 Mondays: 45 X $25.00 = $1125 - $125 = $1000. Tuesdays: 50 X $25.00 = $1250 - $125 = $1125 Wednesdays: 49 X $25.00 = $1225 - $125 = $1100 Thursdays: 48 X $25.00 = $1200 - $125 = $1075 Fridays: 48 X $25.00 = $1200 - $125 = $1075 Saturdays: 50 X $25.00 = $1250 - $125 = $1125 |