AFTER SCHOOL PIANO at GWA- REGISTRATION FORM

AFTER SCHOOL PIANO at GWA- REGISTRATION FORM

Grades 2-4

Student Name ______

Parent Name ______

Student’s classroom teacher ______Grade ______

Best Phone Contact ( )______

Parent e mail (please print clearly)

FEE for trimester 1 (10 weeks) is $100 There is a ONE time book fee of 8.00. This will last for the whole year. Your child will receive a lesson book and a theory workbook. Supplemental pieces will be given out at no extra charge.

TOTAL DUE: $110.00 for August through November 2 (that is the last Monday of the trimester)

Payment Method: _____CHECK # ______Paypal

Cash ______

Parents Please Note:

• Siblings of piano students are not allowed to wait in the halls for their brother/ sister to be done with class. There is no supervision for them. Arrangements must be made for siblings to go home at dismissal time, and a separate pick- up for the piano student. Car-pooling with another student who stays after school would be very helpful!
• Please be on time in picking up your child after piano class! I often have private students at home in the early evenings, and I cannot be late for those lessons. I cannot leave GWA until your child is safely picked up, so please be prompt. I promise to begin and end class on time so you can predict an exact pick- up time.
• Please let me know if you are car- pooling with anyone. Your child must have WRITTEN permission to go home with another parent.
• E mail me any time with concerns/ suggestions
• Class size is limited to 10 students so early enrollment is advised!
• I cannot give refunds for missed classes. If I have to miss a class, you will be credited towards the next trimester.

THANK YOU for your interest in PIANO CLASS!

Kathleen Whiteside

Whiteside Agency