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Returning Student Registration Form
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REturning Student registration form 2024-2025
*
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 XS
Youth S
Youth M
Youth L
Youth XL
Adult S
Adult M
Adult L
Other (please email us)
Lesson Preferences
I would like to
*
Keep my current lesson day/time
Change my current lesson day/time
I prefer:
*
In-Person
Online
In-Home (Baldwin Park Only)
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
Saturday
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 or Zelle Transfer
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 $35 registration fee per student to secure your 2024-2025 lesson time. Submit registration payment by Zelle to
[email protected]
or at
https://www.paypal.me/blakemoreschool
.
Submit
Home
The Teachers
The School
Mission
Programs
Information
Calendar
Registration
>
Returning Student Registration Form
MMS New Pre-College Student Registration
MMS New Adult Student Registration
Inquiries
FAQ
Current Students
Technique Charts
Resources & Links
Technique Olympics Registration
Recital Registration
MayFlower Registration
Pool Party RSVP
My Music Staff Parent/Student Portal
Summer
Summer Lessons
Summer Ensemble Program
