This Form will be updated and available to send in June 2010!

SUMMER LESSON REGISTRATION FORM

Please check the dates below that you wish to have a lesson.  Consider the dates carefully.  If your dates are

approved, you will be making a commitment to attend lessons on these dates.  Therefore, you will be billed

in two monthly installments for your summer lessons.  Your first payment, for 1/2 of the cost of the lessons,

will be due at your first lesson of the summer.  The remaining portion will be due at the first lesson of the

2nd month.

 

                      

                          Submit by _June 5th_ to reserve your time slot!

Information:

 Student Name:                                                                 Age:

         

 

 Parent's Names:

 

 Address:

 

 Address 2:  

              

 

 Home Phone:                    Cell Phone:                             Email:

           

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Check only ONE day (Tuesday or Thursday) for each week (Due to travel plans this summer, some

Tuesday or Thursday lessons will be substituted by a Wednesday Lesson) 

        1st Month (5 weeks of lessons)        Tuesdays                Thursdays   
                                                               June 22nd          June 23rd*
                                                   June 29th          June 30th*
                                                           July 14th*         July 15th
                                                   July 20th            July 22nd
                                                   July 27th            July 29th
 
        1st Month (4 weeks of lessons)        Tuesdays                Thursdays   
                                                                August 3rd        August 5th
                                                   August 10th       August 12th
                                                           August 17th       August 19th
                                                   August 25th*     August 26th

                                                       *These lessons will be on a Wednesday

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                                       PREFERRED LESSON TIMES

Lesson times will be from 12:00pm to 7:00pm.  Please choose a first, second, and third choice for a lesson time.

We will attempt to accommodate your time request, however if there are conflicts with other students, your time

may need to be changed. Time preference is giving to students currently enrolled first. Please be flexible!

1st Choice     2nd Choice     3rd Choice 

Can you take your lesson on either day? (Tuesdays or Thursdays)

This may help to avoid a conflict.   YES   NO

 

Comments:

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Copyright © 2009 Weems-Elliott Violin Studio. All rights reserved.
Revised: 05/19/10.