Argyle United Methodist Church

Student Registration Form

After you complete all the questions please sign and click the Submit button

Student's Name: 

Date of Birth:  mm dd yyyy 

Grade: 

Address:

City:

State: 

Zip Code:

Student's Cell Phone:   

Student's Email Address: 

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Are there any personal circumstances of which we should be aware (special needs, health problems, allergies, etc.)? Information entered here is confidential.

 

Are there any family religious beliefs that might impact repertoire choices or performance dates? 

 

Other extracurricular activities (i.e. ballet, soccer, band, theater):

 

_____________________________________________________________ 

Please select either Private and/or Group Lessons below:

Private Lesson Selections

Please choose your instrument:    

           If other, please specify:

Previous Years of Study: 

Please choose the lesson length: 
Tuition for the year covers 40 weeks of music study. Monthly tuition is calculated by multiplying weekly lesson fee by the amount of lessons in a year (40) and dividing by 11 months.

Preferred Schedule for Private Lessons (only) 

First Choice:        

Second Choice:    

Third Choice:       

 

Group Lesson Selections


Tuition for the year covers 40 weeks of music study. Monthly tuition is calculated by multiplying weekly lesson fee by the amount of lessons in a year (40) and dividing by 11 months.

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Parent or Guardian Information

Parent or Guardian Name: 

Daytime Phone:       Cell Phone: 

Name of the person who will pick up the student after the lesson:

Relationship:

Phone number:

_____________________________________________________________________________

I give permission for my student's picture to be used for publicity purposes: 

IMPORTANT:    When your registration is received and processed you will be invoiced for a one-time registration fee, and first month tuition.

The registration fee $49 or $79 for the whole family.

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By entering your name below you agree to these tuition and fee terms and to the terms outlined in our Policy Statement: