CENTRAL PERFORMING ARTS CENTER

Student Registration

Student's Name:
Birthday: Sex: Female Male
School:

Parent's Name:
Address:
Phone: (H) (W) (C)
E-Mail:

Instrument: First-time Returning student
If returning, level:
Last semester's teacher:
Payment Option: Half of the semester Full semester

Is student a member of Central? Yes No
If not, where do you attend church?

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As Parent/Guardian for the above Student I (we) accept the responsibility for the attendance at each lesson. I understand that unexcused absences will be paid at price with no makeup. I agree to pay all or half the tuition by registration with the remainder due within 30 days.

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