JOYFUL NOISE MUSIC SCHOOL
At
The Holy Trinity Lutheran Church
30 Lockwood Avenue
New Rochelle, NY 10801
Tel. (914) 632-4692, (914) 591-6218

Registration Form 2005-2006    

PLEASE PRINT             Church Affiliation (if any) ______________________
Please Circle:   Adult/Minor;        New/Returning Student       

Today's Date:     /    /

Student's Name:_______________________________ 

Gender:   M   F                                      Date of Birth:___/___/__

Address:____________________________________________________

_________________________________________________
              City                                            State     Zip               

School:_____________________

Home Tel. (___)_____________Cell (___)

Grade:______________________

Emergency Contact: Name___________________________ 

Tel.________________________

Circle one: Adult Student/Parent/Guardian        
Circle one: Dr., Mr., Mrs., Ms.         

 Name:________________________________

Cell Phone:________________________      

Occupation:________________________      

Employer:_________________________       

Work Address:_____________________        

Work Phone:_______________________

Best Times to call:__________________  

Circle one: Adult Student/Parent/Guardian        
Circle one: Dr., Mr., Mrs., Ms.         

 Name:___________________________

Cell Phone:________________________      

Occupation:________________________      

Employer:_________________________       

Work Address:_____________________        

Work Phone:_______________________

Best Times to call:__________________  

Requested Instrument or Voice;____________ Day:________ Length: 30, 45, 60 minutes

Requested Group Class:__________________ Day/Time:_________________________

Previous Study?  Instrument(s), Voice________________  Years:___________________

Other family members enrolled at the Joyful Noise:______________________________

How did you hear about theJoyful Noise Music School?__________________________

GENERAL RULES

The Joyful Noise Music School is open to everyone.  Students and the families are welcome to the Holy Trinity Lutheran Church functions.

Tuition

All fees for individual lessons must be paid to the Holy Trinity Lutheran/Music School before the start of the first lesson of each month. The School reserves the right to cancel any group class due to insufficient enrollment.  Tuition may be paid by cash or check.

Tuition is discounted 10%  for each additional registration for individual instruction in a family.

There is a $50 service charge for returned checks.  Failure to meet financial obligations will result in lesson suspension or termination without removing financial liability for monies due.

Refunds

Tuition is fully refunded if the student withdraws before the start of the first lesson.

Cancellations

All cancellations of lessons must be made through the Director (914) 591-6218

Only two private lessons per semester missed because of student absence for illness, religious observance or extraordinary circumstance will be made up. For lessons Monday - Friday, office must be notified by 9:30 AM the day of the lesson.  For Saturday lessons, the office must be notified no later than 8:00 PM Friday evening the night before the lesson.

No more than two reasonable makeup opportunities will be offered for each student cancellation.  There is no makeup for student absences from group classes.

All lessons and group classes missed because of teacher absences or weather-related closings will be made up.

Withdrawal from individual instruction and request for tuition refund must be submitted in writing to the Director.

I confirm that I have read the General Rules and agree to abide by them.

I prefer to receive statements by mail. ____

I prefer to receive statements at my e-mail address.  _____________

Signature of Parent/Guardian or Adult Student                              Date

 __________________________________                   ________________