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Page 1: Riverbend Conservatory of Music RCM - s3.amazonaws.com · Riverbend Conservatory of MusicRCM Spring 2018 Application for Enrollment & Payment One application per family (Please print)

RCM Riverbend Conservatory of Music

Spring 2018 Application for Enrollment & Payment One application per family (Please print)

Today’s Date: _______________________________ Student’s names , birthdates with choice(s) of study (see below) 1) __________________________________________________________________________________________________ 2) __________________________________________________________________________________________________ 3) __________________________________________________________________________________________________ Parent’s names _________________________________________________________________________________________ Address _______________________________________________________________________________________________ City, State, Zip _________________________________________________________________________________________ Home phone _______________________________ Cell phone __________________________________________________ E-mail address _________________________________________________________________________________________ Where do you attend church? ______________________________________________________________________________

Choices of instruments or study: Piano….Guitar…Voice…Trumpet…Trombone…Clarinet…French horn…Saxophone Drums (percussion)…….Conducting Do you have a teacher preference? Yes / No If so, teacher’s name: _______________________________________ TUITION PLAN 30 minutes = $22 per lesson 45 minutes = $31 per lesson 60 minutes = $39 per lesson FAMILY PLAN ( 2 or more) - deduct $1 per lesson from tuition total for additional, immediate family member taking lessons through RCM. 10 lessons @ 30 minutes ($22 each): 1st student = $220 1) $ ___________________ 2nd, 3rd, etc. = $210 p/student 2) $ ___________________ 10 lessons @ 45 minutes ($31 each): 1st student = $310 1) $ ___________________ 2nd, 3rd, etc. = $300 p/student 2) $ ___________________ 10 lessons @ 60 minutes ($39 each): 1st student = $390 1) $ ___________________ 2nd, 3rd, etc. = $380 p/student 2) $ ___________________ TOTAL $ ___________________ PAYMENTS DUE BEFORE MARCH 12, 2018 Spring Semester ( March 12—June 1) CHECKS PAYABLE TO: RCM or Riverbend Conservatory of Music / 2080 W. Granada Blvd, Ormond Beach, FL 32174 IMPORTANT NOTE: Completed application and payment required before enrollment is official. For any additional questions regarding RCM, contact Cindy Best (RCM Director) @ 321-863-4490 / [email protected] _______________________________________________________________________________________________________

OFFICE ONLY: Received ________________ Cash Amt______________Check Amt_________________Check # _______________