UPON SUBMISSION OF THIS FORM, YOUR INFORMATION WILL BE SENT TO OUR DIRECTOR FOR PROCESSING. YOU WILL BE CONTACTED WITHIN 24 HOURS TO DISCUSS LESSON OR CLASS AVAILABILITY AND PAYMENT OPTIONS.

STUDENT INFORMATION	*-REQUIRED FIELDS
*FIRST NAME
*LAST NAME
ADDRESS
CITY
STATE
ZIP
*EMAIL
*CONFIRM EMAIL
*PHONE  1
PHONE 2
BEST TIME TO CALL
*GRADE LEVEL/AGE
PARENT NAME
ARE YOU REQUESTING A SPECIFIC STAFF INSTRUCTOR? IF SO, WHO

I AM INTERESTED IN TAKING PRIVATE LESSONS                

VOICE
INSTRUMENTAL	(which instrument?)
ART
DRAMA

 

I AM INTERESTED IN A GROUP WORKSHOP
(Group workshop rates vary based on length of class and supplies needed.)
Please list the classes you are interested in here.

THIS IS SIMPLY AN APPLICATION FOR CONSIDERATION FOR ENROLLMENT. YOU WILL NOT BE REQUIRED TO SUBMIT PAYMENT UNTIL YOU HAVE BEEN ACCEPTED AND A START DATE HAS BEEN ESTABLISHED. WE ENCOURAGE YOU TO CALL THE OFFICE (239) 936-6277 IF YOU HAVE NOT BEEN CONTACTED WITHIN 24 HOURS TO ENSURE THAT WE HAVE RECEIVED YOUR APPLICATION.