2019-2020 Music Lessons Registration

Welcome to the Do-Re-Mi School of Music & the Arts!

Email address *

Today's date *

YYYY

Student's Name or Names *

Your answer

Students' DOB (please list DOB's of all students) *

Your answer

Phone number *

Your answer

Teacher *

Your answer

Lesson length (Student 1) - Private Lessons *

30-min

45-min

60-min

30-min twice a week

45-min twice a week

60-min twice a week

Option 7

Option 8

Option 9

Option 10

Other:

Lesson length (Student 2) - Private Lessons

30-min

45-min

60-min

30-min twice a week

45-min twice a week

60-min twice a week

Other:

Group Music Lessons

"Mini-Paganini" Introductory Group Violin Program for 4-5 yrs 4:45-5:30

"Mini-Paganini" Introductory Group Violin Program for 6-7 yrs 5:45-6:30

Ensemble Singing for 8-12 yrs (in English), Monday 7:00-8:00

Ensemble Singing for 5-7 yrs (in English), Saturday 3:15-4:15

Russian Singing group for 4.5-7 yrs, Saturday 11:15-12:00

Russian Singing group for 6-9 yrs, Saturday 12:00-1:00

Day and time *

I want to keep my current day _______________ and time slot ________________________

I would like to stay with the same teacher, but need a different day/time

I am a new student

NEW Day/Time Frame Request - check all hours when you can come; it will increase the chances of getting what you need!

8:00-9:00 am

9:00-11:00 am

11:00-1:00

1:00-3:00

3:00-4:00

4:00-6:00

6:00-8:00

8:00-9:30

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Group Non-Music Lessons

Art

Chess

Math

Russian

Russian Theater

Option 6

Group Non-Music lesson - teacher, day, time

Your answer

Photo and Video use *

My child's photos and videos can be used in the Do-Re-Mi in promotional materials, including on-line.

My child's photos and videos CANNOT be used in any way.

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