Summer 2022 Individual Lesson Registration Request

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Please use this form to request registration for summer individual lessons (July 5-August 15).

A dean will be in touch with you, and confirmation of your registration will be e-mailed to you (or snail-mailed if we don't have an e-mail address for you).

Summer Registration Fee: $10 per student (waived for current students)

Tuition for individual lessons: $32 per 30-minute lesson; $45 per 45-minute lesson; $57 per 1-hour lesson ($4.00 additional for lessons/sessions in Suzuki, Early Start Guitar, and Expressive Arts)

Additional Rates: Expressive Arts Music/Art Off-Site: $97 per 60-minute session.

Please submit a separate application for each family member.

Email *

Is this for a student who is new to Hochstein? *

Yes

No, this request is for a current student

Student (Last Name, First Name) *

Date of birth

YYYY

Instrument/voice *

Parent/Guardian (if applicable) - Last Name, First Name

Preferred phone number (xxx) xxx-xxxx *

New students or changes only: Address (Street, City, State, Zip code)

Would you like the lessons in person or online?

In person

Online

Clear selection

For current students: Individual lesson teacher (Last Name, First Name)

Please list your preferred day(s) and time(s) for summer lessons, Monday-Friday. We will contact you to confirm the time that best fits your schedule. You may specify specific weeks if necessary (4, 5, or 6 weeks, or subject to teacher's availability).

If you wish to register for a CLASS in addition to your lesson, please complete the following: Class, Level (if applicable), Day, Time. This includes Suzuki group and dance classes.

Are you interested in applying for tuition assistance?

Yes; I will download the application on the website: https://hochstein.org/Registration/Tuition-Assistance-Need-Based-Scholarships

Yes; please mail me the Tuition Assistance application

Clear selection

The Hochstein School compiles demographic information for statistical purposes, as many funders require us to share these details. It directly impacts how we are able to provide tuition assistance for students and families. Please select the racial/ethnic group with which you primarily identify(your personal information is kept strictly confidential). *

Asian

African American or Black

Bi-Racial

Caucasian or White

Latino or Hispanic

Native American or Alaska Native

Native Hawaiian or Pacific Islander

I choose not to answer this question

Your tuition will be due on July 5. Please select a payment method. *

I will send in a check

Please charge my credit card on file on July 5

Please call me for a credit card number

I will pay online

These lessons are on a Self-Directed Payment Plan

If you requested automatic payment, please provide the last 4 digits and security code of your credit card (xxxx xxx).

Please let us know below if you have any questions. Thank you!

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

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