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 '09 Spring '10
Kindermusik®
Tuition for a 15-week course

$160

 $160
plus family supplies and materials
(Kindermusik family materials will range from $45 to $65 depending on curriculum)		 $___ $___
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

$185

$185
Taught by professional teacher

$260

$260
(Fees do not include student-purchased supplies)    
REGISTRATION FEE (one fee per family)
Fall -- On or before August 3, 2009
Sprig -- On or before January 4, 2010

$10

$10

TOTAL
$_________________

Please print and return form with registration fee to:

Community Music Ceneter
Union University, Department of Music
1050 Union University Drive
Jackson, TN 38305

Unless otherwise noted, Fall Semester begins August 17, 2009.  Spring Semester begins January 11, 2010.

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