Summer Music Lesson Registration 2022

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Email *

Student Name *

Instrument *

Grade (in the fall) *

Teacher *

Ms. Chmelko (voice or piano)

Mr. Zagorski (woodwinds, brass, percussion)

Mr. Beck (woodwinds)

Mrs. Susan Clark (piano)

Ms. Dotson (voice)

Required

Student Cell phone *

Parent Phone *

I acknowledge that the summer music lesson fee is $200 per instrument. Lessons will be held once a week, and run for 6 weeks, beginning the week of: June 20th through July 25th. All fees are due by the first lesson and a link will be provided for payment on the Nazareth website. All lessons will be held in-person at Nazareth Academy. *

Yes, I acknowledge the above.

Required

A copy of your responses will be emailed to the address you provided.

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