Community Music Center
Registration Form


Student Name(s)___________________________________________________________

________________________________________________________________________

Age(s)___________________________________________________________________

Address__________________________________________________________________

City, State, Zip_____________________________________________________________

Parents or Guardian_________________________________________________________

Home Phone_______________________    Work_________________________________

School______________________________________________  Grade_______________

E-mail___________________________________________________________________

Instrument or class(es)_______________________________________________________

Instructor Preference ________________________________________________________

PROGRAMS (for 15 weeks)
check all appropriate boxes		 Fall '08 Spring '09
Kindermusik®
45-minute sessions weekly

$155

 $155
plus family supplies and materials
(Kindermusik family materials will range from $45 to $65 depending on curriculum)		 $___ $___
Group Piano Program
45-minute group piano lesson weekly plus individual lesson

$205

$205
(supplies not included)    
Children's Chorus
60-minute sessions weekly plus bonus rehearsals and performances

$80

$80
Children enrolled in other CMC programs
(offer applies ONLY to those children enrolled or enrolling in another area of the CMC)

$30

$30
Private Lessons (half-hour lessons)
Taught by university student

$180

$180
Taught by professional teacher

$255

$255
(Fees do not include student-purchased supplies)    
REGISTRATION FEE (one fee per family)

$10

$10

TOTAL
$_________________

Please print and return form with registration fee to:

Attn: Marya Bailey
Union University, Department of Music
1050 Union University Drive
Jackson, TN 38305

*Please contact the CMC office for information on class start dates.

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