Returning Student Registration Form

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REturning PRE-college Student registration form 2021-2022

* 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

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

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 2021-2022 lesson time. Submit registration payment at https://www.paypal.me/blakemoreschool.

Submit

Locations

Winter Park / Oviedo or Online
Monday - Saturday

Thank you for visiting our site! If you are searching for music lessons, we'd love to hear from you!

- Ryan & Lydia Blakemore

Contact Us

Home
The Teachers
The School
- Mission
- Programs
- Information
- Calendar
- Registration
- Inquiries
- FAQ
Events
- Upcoming Events: Fall
- Past Events
Current Students
Summer