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Home
About Us
Mission & Vision
Facility & History
Staff and Board
8.21 – 7.22 Annual Report
Lessons and Drum Corps
One-on-One Lessons
Enrollment Forms
Drum Corps
Recitals
Lesson Instructors
Outreach Programs
Early Childhood
Youth
Adult and Creative Aging
Teaching Artists
Contact Us
DONATE
Home
About Us
Mission & Vision
Facility & History
Staff and Board
8.21 – 7.22 Annual Report
Lessons and Drum Corps
One-on-One Lessons
Enrollment Forms
Drum Corps
Recitals
Lesson Instructors
Outreach Programs
Early Childhood
Youth
Adult and Creative Aging
Teaching Artists
Contact Us
DONATE
Home
About Us
Mission & Vision
Facility & History
Staff and Board
8.21 – 7.22 Annual Report
Lessons and Drum Corps
One-on-One Lessons
Enrollment Forms
Drum Corps
Recitals
Lesson Instructors
Outreach Programs
Early Childhood
Youth
Adult and Creative Aging
Teaching Artists
Contact Us
Registration Form
REGISTRATION
Name
First Name
Middle Name
Middle Name
Last Name
Last Name
Home Address
City
Zip
Phone (H)
Cell
Work
Email
Cleveland Ward
Child's School
Child's Age
Father's Name
Mother's Name
Or Guardian's Name
Person Responsible For Tuition Payments
What instrument(s) is (are) the student interested in learning?
Billing Address
City
Zip
Same as student’s
Same as student’s
Has the student had lessons before?
Yes
No
If yes, who was the instructor, where was the instruction and what instrument?
Previous Instruction
Teacher
How Long
The Registration Fee of
$30 or $40
, which is not refundable, and the first month's payment on lessons must be paid at time of scheduling.
ALL LESSONS MUST BE PAID FOR WHETHER TAKEN OR MISSED.
Notification of your inability to attend a lesson is a courtesy but does not exempt you from payment. If your teacher is absent, the lesson will be made up, or the student will not be charged. If the student is absent for the make-up, he or she is still responsible for payment.
CONTRACTING FOR INSTRUMENTAL OR CLASS INSTRUCTION THEREBY OBLIGATES A STUDENT FOR THE ENTIRE SEMESTER.
The signing of this form implies the observance of all rules and regulations of The Broadway School of Music & the Arts.
Signature of Parent/Guardian
Signature of Parent/Guardian
Date
MM slash DD slash YYYY
Date
BSMA Registrar
BSMA Registrar
Date
MM slash DD slash YYYY
Date