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.