2018 Summer Registration Form
Beginning this summer, we are transitioning to an on-line registration and payment process!

To register for both private lessons, classes and workshops, please complete this registration form. Once we process your registration, you will receive an invoice via email. Simply click "Pay Now" to submit payment. Payments can also be made in person, over the phone, or mailed directly to the Carter Center.

As in previous years, all summer lessons must be paid for upon registration. Students will not be scheduled for lessons until payment is received.

Please use one form per enrollment. Families with more than one student enrolled in private lessons, or with one student enrolled in multiple private lessons, should complete one form for each activity.

Please complete the fields below and update any out-of-date or incorrect information. Note that some account details may not be included here. Any changes made here will be added to your account. To view and update all account records, please visit: https://ri-phil.asapconnected.com/MyAccount .

Student First Name *
Your answer
Student Last Name *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
School Attending
(Fall 2018)
Your answer
Grade
Your answer
Ethnicity (Optional)
Our funders require us to report the ethnicity of students in our program. Please check the box(es) below that you feel best describe you:
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