Registration

Please print and bring on the first day, email it to satterfieldstudio@comcast.net, or mail to to 519 Bethany Circle, M'boro, TN 37128

REGISTRATION:

NAME_________________________________________________AGE_______

SCHOOL/GRADE___________________________________________________

ANY MUSICAL EXPERIENCE?________________________________________

____________________________________________________________________

PARENTS’ NAMES_________________________________________________

SIBLINGS AND AGES______________________________________________

ADDRESS________________________________________________________

HOME PHONE_____________________________________________________

CELL PHONE_____________________________________________________

EMAIL__________________________________________________________

I UNDERSTAND THAT THE FIRST LESSON IS FREE IF I DO NOT CONTINUE. IF I DO CONTINUE, I AGREE TO THE PAYMENT OPTIONS AND WILL COMMIT TO THE FULL SEMESTER, ending December 8, 2010, BEFORE FURTHER REEVALUATION.

SIGNED_________________________________________________________
ON THIS DAY OF___________________________________________,2010.