2019-2020 Registration Form- Chamber Encounters Music Academy/Baltimore Bows
Please complete the form below to register for our programs for the 2019-2020 school year.
If you have any questions please visit our website at baltimorebows.com, or email us at
[email protected]
.
If applying for financial aid, please request for a financial aid form.
Fees can incur through the following:
1. $50 registration for monthly payments
2. $50 registration for payments per semester
3. $50 registration for
multiple
single lessons (also known as trial lessons)
4. $5 surcharge (for traveling) per at home lesson, or $13/month (if selected on registration form)
5. $30 administration and processing for refunds during the spring, per refund policy
6. $25 fee for any returned checks
First Name
Last Name
Email
Mobile Phone
Credit Card Details
Credit cards on file are set to charge 1 day after the invoice due date. This is not applicable to different billing preferences.
Billing Preference
Select
10 Monthly Payments
2 payments (5% discount)
1 Payment (10% discount)
Address
Address Line 2
City
State
Zip
Student
First Name
Last Name
Program (Check ALL that apply)
Private Lessons (prices with lessons lengths below)
Baltimore Bows Program
CEMA Orchestra
Chamber Music
Private Lesson Length
30 Minutes ($130*10 months+$50 registration fee)
45 Minutes ($185*10 months+$50 registration fee)
60 Minutes ($250*10 months+$50 registration fee)
Single Lesson 30 Minutes ($60/lesson)
Single Lesson 45 Minutes ($80/lesson)
Single Lesson 60 Minutes ($105/lesson)
N/A
Instrument
Select
Cello
Piano
Viola
Violin
Voice
Instrument Serial # (Mark N/A if own)
Teacher Preferences
Important allergy/medical information
Photo Permission
I allow Chamber Encounters Music Academy to take photos/videos of my child to be used in promotional materials
Returning Student?
Select
New
Returning
Birth Date
School
Grade
I would like to apply for financial aid
Select
Yes (you will need to submit a full financial aid application and submit tax return)
No
Remove
Add Fields for Additional Student
Submit
