REGISTRATION FORM
|
REGISTRATION FORM |
To download the Adobe Acrobat PDF version, click here.
Thank you!
We are eager to hear from you! Please print this form, fill it out and send to:
Crescenta Valley Music Studio
3043 Foothill Boulevard, Suite #14
La Crescenta, California 91214
| Name of Child | Birthdate / Grade |
| _______________________________________________ | ____________________________ |
| _______________________________________________ | ____________________________ |
| _______________________________________________ | ____________________________ |
On the lines below, please include your name, address, day and night phones and class preferences. Thank you!
|
Name |
______________________________________________________________ |
| Address | ______________________________________________________________ |
| City and Zip | ____________________________________, CA _____________________ |
| Day Phone | ______________________________________________________________ |
| Evening Phone | ______________________________________________________________ |
| Class Preference #1 | ______________________________________________________________ |
| Class Preference #2 | ______________________________________________________________ |
| Class Preference #3 | ______________________________________________________________ |
All classes require a $25 registration deposit. Please send in this registration form with the deposit. We will be contacting you very shortly. Thank you!
Respectfully,
Connie Kuhne
Owner and Teacher of Crescenta Valley Music Studio
| Homework | ||||