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Music Studio ENROLLMENT
FORM
Name_____________________________________________________Age _________
Parent/Guardian #1_________________Home Phone____________ Daytime
__________
Street Address_______________________City ___________________
Zip___________
Parent/Guardian #2______________________ Home Phone_________
Daytime________
Street Address_______________________City ___________________
Zip___________
School_________________________________ CURRENT
Grade _____
Email Parent/Guardian #1__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
__ __ __ __ __
Email Parent/Guardian #1__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
__ __ __ __ __
Credit Card # __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
Credit Card Type __________ Name on the Credit Card
__________________________
Amount to be Charged: $_______ Signature
__________________________________
Expiration Date: ____ / _____
Please check all that
apply:
Preschool Music Program
(Please check all
that apply)
___ Session 1~
Oct 21 - Dec 7, 2007 ___ Session 2 ~ Jan 7 – Feb 14, 2008
___ Session 3 ~
Feb 18 – Apr 4, 2008 ___ Session 4 ~ Apr 7 - May 16, 2008
____ Families
Make Music ~ Mon 11:15 am, FEE: $60 / first child, $30/additional child(ren) / 6 week session
____ Babies Make
Music ~ Wed 9:30 am, FEE: $60 / 6 week session
____ Toddlers
Make Music ~ Wed 10:15 am, FEE: $60 / 6 week session
____ Young
Musicians I ~ Wed 11:00 am, FEE: $84 / 6 week session
____ Young
Musicians II ~ Wed 4:00 PM, FEE: $84 / 6 week session
Private Music Lessons & Ensembles
____ Private
Lessons Sept 10, 2007 – May 16, 2008
Ages 5 and up, 30
min. lesson, $325 / 15 week semester
____
Instrumental & Vocal Classes Oct 21, 2007 – May 16, 2008
Ages 6 and up, 45
minute classes, $150 / 12 week semester
____ Chamber
Music Performance Ensembles Oct 21, 2007 – May 16, 2008
50 minute
rehearsals, FEE: $150 / 12 week semester
PAYMENT SCHEDULE & POLICIES
Enrollments are
accepted on a first come, first served. All programs are limited in size
with a maximum
student to teacher ratio of 1 to 12. A $50 non-refundable deposit will
hold a place for
the upcoming year. You will be invoiced for additional payments due in
Sept and Jan.
Please visit MadCAP’s website for more info about financial assistance
or
call MadCAP at
608.251-1879 to have an application mailed to your home.
Return this form
with payment to MadCAP, 100 N. Hamilton St., Madison, WI 53703 or
fax this form
with credit card information to the same number.
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