Kalamazoo School of Music and Dance Home

Helping Children & Adults "Find Their Passion" in the Arts....

Register for Music and Dance Lessons

New Students Will Receive a Complimentary Lesson, Sign Up Today!!!

Student's Name(s)

Your Email Address

Parent(s)

Address

City & State

Zip

Cell/Home Phone

Work Phone

Student's Birthdate

Where Did You Hear About Us?

Medical Conditions

Select Location

Gull Road
West Michigan Avenue

Select Lesson

Music/Vocal
Dance
Both Music and Dance

List Instrument/Vocal Taking

Teacher - if known

Day Preferred

Time Preferred

List Dance Lesson #1

Day of Class #1

Time of Class #1

List Dance Lesson #2

Day of Class #2

Time of Class #2

List Dance Lesson #3

Day of Class #3

Time of Class #3

List Previous Music or Dance Training that you have had.

Students may withdrawal anytime after the 2 month minimum (initial here)

Any make-up lessons after your last class are void (initial here)

To Withdrawal- (check when read)

Complete and Sign Withdrawal form from office
return your withdrawal form by the 1st week of your last month taking

Payment Options

EZ Pay: Sign up with EZ Pay and your debit/credit card will be charged the monthly tuition on the first of each month. Students are automatically signed up through June 2010
Monthly Payment: Pay monthly with cash, check or credit card. You must always pre-pay 2 months in advance. So the first week of lessons in September is when your October tuition is due. Students are automatically signed up through June 2010.

What do you love most about Music/Dance

Additional Notes You Wish to Include