Registration

Parent Information *= required fields

* Name

* Address

* City/State/Zip

* Home Phone

Work Phone

Cell Phone

* Email

Student Information

* Name

* Birthdate

* School

* Grade in Sept. 2010

* Most Recent Music Instructor

* Instructor's Email

* Instrument

* Most Recent solo/etude

Important Medical Information

Registration and Payments

Two Week Session @ $435 each =

SAVE $40. Early Bird! Pay in FULL by May 15, 2010 / Two Week Session @ $395 each =

1 Week Session: June 21-24 @ $295 each =

1 Week Session: June 28-July 1 @ $295 each =

Final Concert CDs @ $20 each =

* Subtotal =

* Non-refundable deposit enclosed =

* Balance Due =

I have enclosed by non-refundable $100 deposit payable to Summer String Festival

* Verify Verify

The final concert is Thursday July 1, 2010 at 3:30 pm

The pizza party is Thursday June 24, 2010 at 5:00 pm

REGISTRATION & deposit Due June 1, 2010
Balance Due June 15, 2010

Mail Deposit and This Registration Form to:
Mimi Butler • 401 Beechwood Avenue • Haddonfield, NJ 08033

All payments are non-refundable.

Private Music Studio Guides by Mimi Butler