Friday, June 6th through Friday, June 13th, 2008

  
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Student Registration Form

3rd Annual Intermountain Flute Institute 2008
 

 

Name of Student
Name of Parent(s)/guardian
Street address
City
State  
Zip Code
Home Phone
Email

NOTE: Children in elementary school [12 and under] need to be accompanied by a parent or authorized guardian at institute. Middle and high school students will be assigned or may choose a buddy, who can check regularly on each other.
Student's Mobile Phone
(if student owns a phone)
Student's age as of June 6th, 2008
Book level
Most polished piece
Private Teacher Name
Private Teacher Phone
Private Teacher Email
Student Registration Fees

Base Tuition


Select the appropriate level:
Books 1 and 2 are $300
Book 3 is $350
 Deposit to hold student's place is $50*

Fees paid after May 12, 2008 will incur a $30 late penalty. A $50 deposit will hold your place, but a late penalty does apply. Any refunds must be by written request to institute director.

Enrichment Classes

(descriptions)


Students in Books 1 and 2 will be assigned ONE enrichment class.
Books 3 and up students will be assigned TWO enrichment classes.
Additional classes may be added for enrolled students, siblings or even parents where appropriate for $35.

Please select how many enrichment classes you would like to participate in:
1 class (included in Books 1 and 2)
2 classes (included in Books 3+; $35 for Books 1 and 2)
 3 classes ($35 for Books 3+, $70 for Books 1 and 2)

Since enrolment is based on availability, classes cannot be guaranteed. Therefore please select the order of preference:

First Preference
Second Preference
Third Preference

Please provide your comments, if you have any


Your total is:
  

(Note: Total can not be changed by the visitor.)