Guitar Workshop Registration Form

GUITAR WORKSHOP REGISTRATION FORM

PRINT AND COMPLETE
(the form cannot be submitted via internet; please print to complete)

TODAY’S DATE: ____________________

Indicate your selection(s) by circling one or more workshops from the following table.

The workshops will be held every Wednesday over 7 weeks, from June 9 through July 28, 2010, except on July 7.

SESSIONS	DATES	DAYS	TIME	CLASS LENGTH	TUITION
Beginner & Intermediate	June 17 - August 5	Fridays	6:30 pm	60 minutes	$120
Advanced	June 15 - August 3	Wednesdays	7:30 pm	60 minutes	$120

STUDENT’S NAME: ____________________________________________ GRADE or ADULT: _____________

PHONE: HOME: ______________________ CELL:_____________________ ALTERNATE: _________________

COMMENTS: ________________________________________________________________________________

____________________________________________________________________________________________

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PARENTS’ NAMES:____________________________________________________________________________

ADDRESS: ______________________________________________ CITY/ZIP: __________________________

E-MAIL ADDRESS: ___________________________________________________________________________

WORK PHONE: _______________________________ CELL PHONE: ________________________________

Return the completed Guitar Registration Form with the corresponding payment ($120.00 per workshop). Classes will be limited to the first 6 students who register. To enroll, please call 972-304-8600 or send an e-mail to info@coppellconservatory. A minimum of 4 students will be required per workshop. Any workshop with less than 4 students will be canceled and payments will be refunded.

NOTE: Students who do not have a guitar may rent one for $10.00/month from Coppell Conservatory, and use it for the duration of the workshop.

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