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REturning PRE-college Student registration form 2020-2021
*
Indicates required field
Student Name
*
First
Last
Student Birthday
*
Student Age
*
Student Grade in School
*
Parent/Guardian Name
*
First
Last
School
*
Parent/Guardian Email (if changed)
*
Parent/Guardian Phone Number (if changed)
*
Address (if changed)
*
Line 1
Line 2
City
State
Zip Code
Country
T-Shirt Size
*
Youth S
Youth M
Youth L
Youth XL
Adult S
Adult M
Other
Lesson Preferences
I would like to
*
Keep my current lesson day/time
Change my current lesson day/time
If you would like to adjust your current lesson day and time, please indicate you scheduling preferences below
Lesson Length
*
30 Min
45 Min
60 Min
Scheduling
*
Monday
Tuesday
Wednesday
Thursday
Friday
Lesson time preferences
*
Payment Preferences
The Blakemore School of Music offers several different payment options and plans. Please indicate which options would work best for your family. For more information about tuition costs, click
here
.
I would like to be billed:
*
Once at the beginning of each semester (discounted)
In equal installments throughout the semester
Please indicate how you would like to be billed
*
Check
Electronic Recurring Stripe Payments (monthly payment option only)
Please list any other special circumstances or scheduling requests below
*
Thank you so much for filling out our online registration form! Due with registration is a $25 registration fee per student to secure your 2020-2021 lesson time. Registration payment may be submitted at
https://www.paypal.me/blakemoreschool
.
Submit
Home
The Teachers
The School
Mission
Programs
Information
Calendar
Registration
Inquiries
FAQ
Events
Upcoming Events
Past Events
Current Students
Listening Assignments
Technique Charts
Resources & Links
My Music Staff Parent/Student Portal
Summer
Summer Lessons
Summer Ensemble Programs
BSM Summer Study Scholarship
