Summer Guitar & Piano Camp 2014 Application

Summer Piano & Guitar Camp

Thank you for applying for enrollment in Private Lessons at Eastview Music Studio. Please provide responses to all of the questions below:

Step 1 of 3

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Name
First Last
Date of Birth
MM
DD
YYYY
Grade
Parent(s) Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Home Phone
Work Phone
Cell Phone
Email

Please indicate if you would like to sign up for:
- Piano
- Guitar
- Both (1 week Piano & 1 week Guitar)
Additional Comments (if needed)
Who/what referred you to Eastview Music Studio?

Policy Acknowledgement*
- I have read the policy statement for Eastview Music Studio and completed the application.
Please read the studio policy below and acknowledge you have done so by checking the box at the bottom of this section.

STUDIO POLICY
Parents are expected to personally escort their child both to, and from each class. Students will not be allowed to wait outside the studio for a ride. Students will be considered registered for summer camp session and time upon receipt of payment and completed application. The $69.00 fee is non-refundable and includes all books, CD’s, and tuition for the week.