Fall 2022 Registration Form: Chamber Encounters Music Academy (New)
New families and students, please complete the form below to register for our programs for the Fall 2022 semester.
DO NOT COMPLETE if you are returning. Please complete a form here and we will update your Teachworks account:
https://forms.gle/V7dRFhHhzS6AaucG6
Any questions? Please visit our website at baltimorebows.com, or email us at
[email protected]
.
Fees can incur through the following:
1. $50 registration fee
2. $25 fee for any returned checks, per refund policy
3. $30 administration and processing for refunds during the spring, per refund policy
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
Birth Date
School
Grade
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Add Fields for Additional Student
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