Fall 2015 Registration — FaithSlaker Music



Phone Number:

Email Address:

Student 1:

Student 2:

I would like to register for the following length lessons starting fall, 2015:
30-minute lessons ($168/month, $489/quarter)
45-minute lessons ($234/month, $680/quarter)
60-minute lessons ($300/month, $872/quarter)

I would like to pay:

My preferred lesson day and time is:

In case that cannot be accommodated, I am available the following days for lessons:

On those days, my restrictions are as follows:

I give permission to include my child's lesson time as well as my aforementioned phone number and e-mail address on the fall swap list in order to trade with another student in the need should arise.

I will bring the Fall Deposit of $100 to my next lesson.