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) ________________________________________________________ _____Guitar Class (Mon - Sat) ________________________________________________________ _____Vocal Wkshp (Mon - Sat) _________________________________________________________ _____Mini Mozarts (Mon - Sat) _________________________________________________________ _____Private Drum (Friday/Sat) ________________________________________________________ _____Private Piano:(Waiting List) _________________________________________________________ ______ Private Guitar: (Mon - Sat) _________________________________________________________________________ ______ Private Voice (Mon - Sat) __________________________________________________________________________ _____ Private Violin (Tues) ___________________________________________________________ _____Garage Band Wkshop (Tues/Fri)___________________________________________________________ How did you find us? ___________________________________________________________________ A required down payment of $40.00 is paid when registering. This down payment holds a place in a class. It will be applied as credit to the first month’s lesson. 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. SEE CHART**) ____ Payment for Semester (minus 2 lesson)**** (Available in September and January. SEE CHART**) Please make checks payable to: Music Makers...For Life, Inc. ****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 _________ 2008 |
| 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 |
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| 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 Mini Mozarts |
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| Semester or Full-Year Payment Chart Year Payments 2008/2009 Mondays: 33 X $20.00 = $660 - $100 = $550. Tuesdays: 38 X $20.00 = 760 - $100 = 660 Wed: 37 X $20.00 = 740 - $100 = 640 Thursdays: 37 X $20.00 = 740 - $100 = 640 Fridays: 35 X $20.00 = 700 - $100 = 600 Saturdays: 36 X $20.00 = 720 - $100 = 620 Semester Payments 2008/2009 August - December Mondays: 15 X $20.00 = $300 - $40 = $260 Tuesdays: 17 X 20.00 = 340 - $40 = 300 Wed: 16 X 20.00 = 320 - $40 = 280 Thursdays: 16 X 20.00 = 320 - $40 = 280 Fridays: 15 X 20.00 = 300 - $40 = 20 Saturdays 16 X 20.00 = 320 - $40 = 280 Semester Payments 2008/2009 January - June Mondays: 18 X $20.00 = $360 - $40 = $320 Tuesdays: 21 X $20.00 = $420 - $40 = $380 Wed: 21 X $20.00 = $420 - $40 = $380 Thursdays: 21 X $20.00 = $420 - $40 = $380 Fridays: 19 X $20.00 = $380 - $40 = $320 Saturdays 20 X $20.00 = $400 - $40 = $360 |