Argyle United Methodist Church

Student Registration Form
Student's Name:
Date of Birth: mm dd yyyy
Grade:
Address:
City:
State:
Zip Code:
Student's Cell Phone:
Student's Email Address:

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:
Monthly tuition is calculated by multiplying weekly lesson fee by the amount of lessons in a year and dividing by 11 months.

Preferred Schedule for Private Lessons (only)

First Choice:
Second Choice:
Third Choice:

Group Lesson Selections

Monthly tuition is calculated by multiplying weekly lesson fee by the amount of lessons in a year and dividing by 11 months.

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 to student:
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 is $49 for an individual or $79 for the whole family.

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