Spring 2010 Registration Form
(One form per student)

(Fields with ' This indicates a required field. ' is required)
This indicates a required field. Student's Name :   This indicates a required field. Parent's Name :
This indicates a required field. Age : At least one phone number is required. Phone (home) :
This indicates a required field. School : Phone (work) :
At lease one instrument is required. Instrument : Phone (cell) :
Instrument : This indicates a required field. Email :
This indicates a required field. Address :
This indicates a required field. City :    This indicates a required field. Zip:
Preferred Instructor
(if applicable) :
  30 min   60 min
Preferred Instructor
(if applicable) :
  30 min   60 min
This indicates a required field. Location : SLU Campus    St. Tammany Center    Livingston
ENROLLMENT FOR CLASSES AND ENSEMBLES (check all that apply)
[ SLU Campus Only ]
ELEMENTARY-AGE
   Beginning Theory Wed 4:00 Rm 103
   Intermediate Theory Tue 4:00 Rm 103
MIDDLE SCHOOL/HIGH SCHOOL-AGE
   Beginning Theory Wed 5:00 Rm 103
   Intermediate Theory Tue 4:00 Rm 119
   Advanced Theory Thurs 4:00 Rm 103
ADULT
   Beginning Theory Tue 5:00 Rm 103
   Beginning Group Piano 1 Thurs 6:00 Rm A286 Limit of 10
   Beginning Group Piano 2 Tue 6:00 Rm A286 Limit of 10
   Community Band Tue 7:00 Rm A162
PREPARATORY CHORALE Mon 4:00 Rm 103
SELECT VOCAL ENSEMBLE Mon 5:30 Rm 163A
STRING ORCHESTRA Mon 5:00 Rm 119
CHAMBER MUSIC TBA TBA Location TBA

LIVINGSTON CENTER
 
ADULT Beginning Group Guitar Tue 7:00 Liv. Ctr.

A minimum of ½ the balance due will need to be received on or before the first lesson.
Any remaining balance will be due Friday, March 19.

CMS STUDENTS UNDER 18

List all persons responsible for picking up the student after lessons.



This indicates a required field. Does the student have permission to leave the SLU Music Building? (If YES, then please provide the reason.) Yes   No
For what reasons?


****** ABSENCE POLICY (Excerpt)******

This indicates a required field.  I agree to give my instructor at least a 3 hour notice for a cancellation. If not, the instructor is not obligated to offer a make-up lesson (though may choose to do so).