Welcome to Scribd. Sign in or start your free trial to enjoy unlimited e-books, audiobooks & documents.Find out more
Download
Standard view
Full view
of .
Look up keyword
Like this
0Activity
0 of .
Results for:
No results containing your search query
P. 1
Spring2012 KeyboardRegistration Form

Spring2012 KeyboardRegistration Form

Ratings: (0)|Views: 12|Likes:
Published by Aline Bahamondez
Spring 2012 Keyboard Registration Form
Spring 2012 Keyboard Registration Form

More info:

Published by: Aline Bahamondez on Sep 04, 2012
Copyright:Attribution Non-commercial

Availability:

Read on Scribd mobile: iPhone, iPad and Android.
download as PDF, TXT or read online from Scribd
See more
See less

09/04/2012

pdf

text

original

 
 Dana V Music Mailing Address – 901 Front Street, Suite B150, Louisville, CO 80027 (303) 974-5586 www.danavmusic.com
Parent/Guardian Name:Home Phone:Cell Phone:Work Phone:Address:Email Address:Emergency Contact Name:Relation:Emergency Contact Phone Number:
CityStateZip CodeStreetApt. #FirstLast
Today’s Date:
MMDDYYLastFirst
Check here to receive our monthly e-newsletter:
Spring Keyboard Registration
 Name:
FirstLast
Birth Date:Sex:M
MMDDYY(circle one)
Age:
(As of 1/19/12)
How did you hear about us?
(circle one)
FSchoolFriend:InternetAdOther 
(please specify)
Art UndergroundTown of Superior School Name:
CoursesCostPay
PLEASE TURN OVER FOR MORE INFORMATION
Beginning Keyboard Fundamentals: Level 1
(Ages 4
 
- 5 )
- Wednesday 4:00-4:45 pm- Thursday 10:30-11:15 am- Friday 2:00-2:45 pm- Instructors: Anne Breeden-Ehmke, WednesdayYukiko Kimura, Thursday/Friday
$260$$$
 _____ Wed: Jan. 25 - Apr. 25 (no class March 28) _____ Thu: Jan. 26 - Apr. 26 (no class March 29) _____ Fri: Jan. 27 - Apr. 27 (no class March 30)
Beginning Keyboard Fundamentals: Level 1
(Ages 5
 
- 7 )
- Tuesday 4:15-5:00 pm- Instructor: Katie McClave
$260
 _____ Tue: Jan. 24 - Apr. 24 (no class March 27)
Beginning Keyboard Fundamentals: Level 2
(Ages 6
 
- 8 )
$
Beginning Keyboard Fundamentals: Level 1
(Ages 6
 
- 8 )
$ 260$255
- Monday 4:00-4:45 pm- Tuesday 5:00-5:45 pm- Instructors: Nancy Fitzgerald, MondayTBA, Tuesday _____ Mon: Jan. 23 - Apr. 30
(no class Feb. 20 or Mar. 26)
 _____ Tue: Jan. 24 - Apr. 24 (no class March 27)- Wednesday 4:45-5:30 pm- Instructor: Angela Miller-Niles _____ Wed: Jan. 25 - Apr. 25 (no class March 28)
$
Beginning Keyboard Fundamentals: Level 2
(Ages 5
 
- 7 )
- Tuesday 3:30-4:15- Thursday 4:00-4:45 pm- Instructors: Katie McClave, TuesdayAngela Miller-Niles, Thursday
$260
 _____ Tue: Jan. 24 - Apr. 24 (no class March 27) _____ Thu: Jan. 26 - Apr. 26 (no class March 29)
Nurturing Expression rough the Language of Music
(please specify name)
OFFICE USE ONLY:
Payment Type:Amount:Intake Initials:Database Initials:Date:Date:

You're Reading a Free Preview

Download
scribd
/*********** DO NOT ALTER ANYTHING BELOW THIS LINE ! ************/ var s_code=s.t();if(s_code)document.write(s_code)//-->