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                   Registration Form Fall & Spring 2019 - 2020                                                 Afterschool and Saturday Program

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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.

African drumming


HOUSEHOLD INFORMATION 





















Student #1 Information 




ADULT GROUP ONLY Tuesdays & Fridays






Student #2 Information 




ADULT GROUP ONLY Tuesdays & Fridays






Student #3 Information 




ADULT GROUP ONLY Tuesdays & Fridays






STUDENT #1 FIRST TIME INFORMATION 



STUDENT #2 FIRST TIME INFORMATION 



STUDENT #3 FIRST TIME INFORMATION 



EMERGENCY CONTACTS 
Please type a different person who could be reach in case we will not able to contact you. 








STATUS SELECTION 2019-2020
Membership requires volunteer and fundraising responsibilities.
Student #1 Classes












Student #2 Classes












Student #3 Classes












Membership Program
Additional $50 Membership Fee for  24 Weeks and $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 15, 2020 Pancake Breakfast
Attend June 6, 2020 Walk for the Arts Event

24-Week Members: 
2 hours of volunteer time PER student enrolled
Fundraise $50 PER student enrolled
Attend (1) Membership Meeting
Attend or participate on  February 15, 2020 Pancake Breakfast
Attend June 6, 2020 Walk for the Arts Event






MEMBERSHIP AGREEMENT
PARENT ORIENTATION 





Schedule of Classes



SELECTION CLASSES   
TUESDAY CLASSES 


TUESDAY PRIVATE LESSONS STUDENT



ADULT CLASSES STUDENT

WEDNESDAY CLASSES 


WEDNESDAY PRIVATE CLASSES STUDENT 



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


ADULT CLASSES STUDENT 

SATURDAY CLASSES 



SATURDAY  PRIVATE LESSONS STUDENT

Membership rates are sold out. Only Standard rates are available


 TROUPE CLASSES INFORMATION 


Troupe classes info

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





SELECTION CLASSES   
TUESDAY CLASSES 


TUESDAY PRIVATE LESSONS STUDENT



ADULT CLASSES STUDENT

WEDNESDAY CLASSES 


WEDNESDAY PRIVATE CLASSES STUDENT 



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


ADULT STUDENT CLASSES

SATURDAY CLASSES 



SATURDAY  PRIVATE LESSONS STUDENT

Membership rates are sold out. Only Standard rates are available


 TROUPE CLASSES INFORMATION 


Troupe classes info

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





SELECTION CLASSES   
TUESDAY CLASSES 


TUESDAY PRIVATE LESSONS STUDENT



ADULT CLASSES STUDENT

WEDNESDAY CLASSES 


WEDNESDAY PRIVATE CLASSES STUDENT 



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


ADULT CLASSES STUDENT 

SATURDAY CLASSES 



SATURDAY  PRIVATE LESSONS STUDENT

Membership rates are sold out. Only Standard rates are available


 TROUPE CLASSES INFORMATION 


Troupe classes info

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.




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.




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 October through April.

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

Payment Information









Required for submission 1/6th total tuition plus membership and any additional fees (piano books, guitar books, young chefs, art fee).

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DEMOGRAPHIC INFORMATION 












Student #1 Information


Check all that apply





Student #2 Information


Check all that apply





Student #3 Information


Check all that apply