SPRING 2019 Afterschool and Saturday Program Registration Form

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The mission of Institute of Music for Children is to engage children and youth in artistic expression and the creative process.

Spring 2019

HOUSEHOLD INFORMATION 




















STUDENT #1





ADULT GROUP ONLY Wednesday & Saturdays









STUDENT #2





ADULT GROUP ONLY Wednesday & Saturdays









STUDENT #3





ADULT GROUP ONLY Wednesday & Saturdays


















RATE SELECTION 2018-2019
Membership requires volunteer and fundraising responsibilities.




Membership Program
Available only to Elizabeth participants at this time. Additional $50 Membership Fee ($30 for 12-week students) to join the program. Enjoy up to 45% off tuition and other special benefits.

Becoming a member of the Institute of Music for Children requires specific commitments. 
12-Week Members: 
1 hours of volunteer time PER student enrolled
Fundraise $30 PER student enrolled
Attend (1) Membership Meeting
Attend or participate on  February 16, 2019 Pancakes Breakfast
Attend June 8, 2019 Walk for the Arts Event
MEMBERSHIP AGREEMENT
PARENT ORIENTATION 




Schedule of Classes

Student #1 Classes 


TUESDAY PRIVATE LESSONS STUDENT #1

Membership rates are sold out. Only Standard rates are available


WEDNESDAY CLASSES 


WEDNESDAY PRIVATE CLASSES STUDENT #1


Membership rates are sold out. Only Standard rates are available

ADULT CLASSES STUDENT #1

FRIDAY CLASSES 

Elizabeth - Friday Teen Night Classes (Grades 8 - 12) - Class Selections.  

Dinner is provided between first & second period - NO COST.


Students are welcome to join Teen Talk (4:45 - 5:30) before classes begin.  

Teen Talk is a supervised Teen discussion group - NO COST




FRIDAY PRIVATE LESSONS STUDENT #1

Membership rates are sold out. Only Standard rates are available

SATURDAY CLASSES 



SATURDAY ADULT CLASS STUDENT #1 

Student #2 Classes 


TUESDAY PRIVATE LESSONS STUDENT # 2 


Membership rates are sold out. Only Standard rates are available

WEDNESDAY CLASSES STUDENT# 2


WEDNESDAY PRIVATE LESSONS STUDENT #2


Membership rates are sold out. Only Standard rates are available

ADULT CLASSES STUDENT #2

FRIDAY CLASSES STUDENT #2

Elizabeth - Friday Teen Night Classes (Grades 8 - 12) - Class Selections.  

Dinner is provided between first & second period - NO COST.



Students are welcome to join Teen Talk (4:45 - 5:30) before classes begin.  

Teen Talk is a supervised Teen discussion group - NO COST




FRIDAY PRIVATE LESSONS STUDENT #2

Membership rates are sold out. Only Standard rates are available

SATURDAY CLASSES STUDENT #2



SATURDAY ADULT CLASS STUDENT #2 

Student #3 Classes 


TUESDAY PRIVATE LESSONS STUDENT #3 


Membership rates are sold out. Only Standard rates are available

WEDNESDAY CLASSES STUDENT #3


WEDNESDAY PRIVATE LESSONS STUDENT #3


Membership rates are sold out. Only Standard rates are available

ADULT CLASSES STUDENT #3

FRIDAY CLASSES STUDENT #3

Elizabeth - Friday Teen Night Classes (Grades 8 - 12) - Class Selections.  

Dinner is provided between first & second period - NO COST.



Students are welcome to join Teen Talk (4:45 - 5:30) before classes begin.  

Teen Talk is a supervised Teen discussion group - NO COST




FRIDAY PRIVATE LESSONS STUDENT #3

Membership rates are sold out. Only Standard rates are available

SATURDAY CLASSES STUDENT #3



SATURDAY ADULT CLASS 


It is a requirement that all music students practice their instrument at home. 


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READ & PRINT HANDBOOK FOR YOUR RECORDS HERE 
HANDBOOK ACKNOWLEDGE 
PROGRAM DETAILS 
The following people (in addition to primary parents/ guardians listed on registration form) have permission to pick up or drop off my child. 







MEDIA REALEASE 

HEALTH CONSENT 

YOUNG CHEF CLASS CONSENT FORM (if applicable)

Students will have the opportunity to use kitchen utensils and equipment during the Institute of Music for Children’s cooking program. Students will learn about appropriate handling of food items and safe operation and use of the kitchen equipment and they will be supervised at all times. Parents should be aware, however, that participation involves using knives and other sharp utensils, and that children will be working with and in close proximity to large kitchen equipment and hot items.  Classes may also involve handling of raw food items.  Although every precaution is taken to prevent accidents, a certain risk is involved due to the nature of the experience, the age of the student, and the learning environment.




PAYMENT AGREEMENT 

  Tuition payments can be paid in full or can be split into installments (Dates vary depending on if you are a 12 or 24-week or Member or Standard family). If not paying in full, we require a payment  security with a valid credit or debit card.  If we do not receive payment within 10 days of the payment due date your card will be charged the installment due plus a $25 late fee. 

**First payment is due at registration. Remaining installments are due in the first week of March through April.

If you enroll after an installment date, you must pay the first installment along with any missed payment installments. 

PAYMENT PLAN 12 WEEKS
Payment Information







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DEMOGRAPHIC INFORMATION 















Student #1 


Check all that apply





Student #2 


Check all that apply





Student #3 


Check all that apply