SCHOOL OF PERFORMING ARTS 2017-18 Private Lesson Registration Form Please complete and return this form for each child you would like to register. Lesson slots are filled on a first come, first served basis. The registration form and applicable fees (see second page) should be submitted to the Red Lion / GCA school offices or emailed to Stephanie Ferguson (
[email protected]) to reserve a place in the program. Please indicate the type of lessons desired. Teachers and grade levels accepted are noted. Type of Lesson Instructor Grades Piano Stephanie Bailey 1-12 Stephanie Ferguson K-12 Shelley Pritt Becky Wooler Jeremy Betters * Kendall Kerr
1-12 2-5 3-12 2-5
Flute Voice Violin Viola
Becky Wooler Stephanie Bailey Francesca DiGiacomo Francesca DiGiacomo
3-12 6-12 3-12 3-12
Private Dance Lessons
Brianna Thompson
1-12
Guitar
Student Name: _______________________________ Years of experience on instrument: _______ Grade/Teacher: _____________________________________________________ Can your child attend After Care on lesson days? Yes No (After Care fees are $10 per hour. Elementary students waiting for an after school lesson must be supervised at all times.) Parent Phone Numbers: (H) ________________ (W) _________________ (C) __________________ Parent Email:________________________________________________________________________
* Please note: guitar lessons with Jeremy Betters will take place at his home in Middletown, DE.
School of Performing Arts Registration Page 2 of 2
Performing Arts - Private Lesson Fees Parent’s Name (please print)__________________________________________________ Student’s Name (please print)______________________________________Grade______ Type of lessons (e.g. “piano”): ______________________________
Private lesson costs: Tuition (30 minute lessons) $26 x 32 weeks = $832 OR Tuition (45 minute lessons) $36 x 32 weeks = $1152 PLUS Annual registration fee: $40 Total cost of lessons:
$__________
Full year classes run for 32 weeks. Lesson costs may be pro-rated if starting mid-year. See program coordinator for details. Pro-rated amount (if applicable): $___________
Signature of Parent/Responsible Party:___________________________________ (signifies agreement with Performing Arts policies) *********************************************************************************** ____ We elect to Pay in Full (Make check payable to RLCA) ____ We elect to have fees charged to our FACTS account to allow payments to be spread throughout the school year. Name on FACTS account: _______________________________________ Please note : From time to time, there may be additional costs for recitals, festivals, etc. that are not included in lesson fees.
*********************************************************************************** Office Use Only: Approved by:________________ Amount Received: ___________ Date _______ Entered in FACTS ________
