The Studio - Enrollment Form

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    <span><strong>THE STUDIO School of Fine Arts Enrollment Form&nbsp;</strong></span>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;</h1>
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    Name: _________________________________&nbsp;&nbsp;</h3>
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    Age: ________ &nbsp;&nbsp;&nbsp;□ New Student&nbsp;&nbsp; □ Returning Student&nbsp;&nbsp;</h3>
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    Instrument(s): __________________________________</h3>
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    Payment attached for:&nbsp;&nbsp; □&nbsp; Full Year&nbsp;&nbsp;&nbsp;&nbsp; □&nbsp; Fall&nbsp;&nbsp;&nbsp; &nbsp; □ Spring&nbsp;&nbsp; &nbsp;&nbsp;&nbsp; □ Summer&nbsp;&nbsp;</h3>
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    Instructor(s) ____________________________________&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</h3>
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    NOTE: Additional family members may be registered below.</h3>
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    To keep our records up to date, please provide the following information:</p>
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    Address ________________________________________________&nbsp;&nbsp;</p>
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    City, State, Zip___________________________________________</p>
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    Home phone ____________________________________________</p>
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    Cell Phone______________________________________________</p>
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    Work phone_____________________________________________&nbsp;&nbsp;</p>
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    Email Address___________________________________________&nbsp;</p>
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    Emergency Contact_______________________________________</p>
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    Phone__________________________________________________</p>
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    &nbsp;</p>
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    Registration Fees(Due at time of registration) not to exceed $70 per family)</h3>
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    <strong>Full Year:&nbsp; $45</strong>, if paid in full at time of registration ($15 per additional family member)<br />
    &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (Full Year includes the Summer, Fall and Spring Semesters)</h3>
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    <strong>Fall:&nbsp; $30</strong> ($15 per additional family member)</h3>
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    <strong>Spring (Return students):&nbsp; $20</strong> ($10 per additional family member)</h3>
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    <strong>New Student Fee: $30</strong> (if entering Studio in Spring)</h3>
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    <strong>New Student Fee: $10</strong> (if entering Studio in Summer)</h3>
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    <strong>Each additional activity: $5</strong></h3>
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    <em>Deadline for full year and fall enrollment fees: October 1, 2011. A $15 late fee will be incurred if enrollment fees are not received by this date.</em></h3>
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    &nbsp;</p>
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    Parent Signature _________________________________________&nbsp;&nbsp;&nbsp;&nbsp;</p>
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    &nbsp;</p>
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    &nbsp; &nbsp;&nbsp;&nbsp;&nbsp;</p>
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    <strong><span>Additional Family Member Enrollment:</span></strong></h3>
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    Name: ________________________________________&nbsp;&nbsp;</h3>
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    Age: ________ &nbsp;&nbsp;&nbsp;□ New Student&nbsp;&nbsp; □ Returning Student&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</h3>
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    &nbsp;Instrument(s): __________________________________</h3>
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    &nbsp;</p>
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    Name: ________________________________________&nbsp;&nbsp;</h3>
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    Age: ________ &nbsp;&nbsp;&nbsp;□ New Student&nbsp;&nbsp; □ Returning Student</h3>
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    Instrument(s): __________________________________</h3>
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    &nbsp;</p>
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    Name: ________________________________________&nbsp;&nbsp;</h3>
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    Age: ________ &nbsp;&nbsp;&nbsp;□ New Student&nbsp;&nbsp; □ Returning Student</h3>
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    Instrument(s): __________________________________</h3>
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    &nbsp;</p>
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    Name: ________________________________________&nbsp;&nbsp;</h3>
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    Age: ________ &nbsp;&nbsp;&nbsp;□ New Student&nbsp;&nbsp; □ Returning Student</h3>
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    Instrument(s): __________________________________</h3>
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    &nbsp;</p>
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    &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</p>
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