Simmons Band Private Lesson Enrollment Form
Band parents, please fill out the information below to enroll your child in our private lesson program.  All lessons will take place at Bumpus during your child's regular band class time.  By enrolling your child in our private lesson program, you are committing to your child attending their private lessons at their designated times, committing to ensure your child practices the material covered in their private lessons, and committing to pay the $600 per year enrollment fee (can be paid in full or in $300 per semester or $75 per month installments).
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Student Name (First and Last) *
Student Instrument *
Parents, by inserting your name below,  you are committing to your child attending their private lessons at their designated times, committing to ensure your child practices the material covered in their private lessons, and committing to pay the $600 per year enrollment fee (can be paid in full or in $300 per semester or $75 per month installments).  Please go to secure4.myschoolfees.com to pay this fee (preferred method), or send in cash or check made out to Bumpus Middle School.  Parents who want to make that commitment for their child to take private lessons but cannot make the financial commitment should insert their name below and contact Mr. Chambless directly.   *
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