Piano Class Registration
Please complete and return with Payment Thursday Class: $100.00
Student Name_______________________________________________ Parent__________________________________________________
Grade _______________Classroom Teacher ____________________________________
Fee for TRIMESTER is based on $10 per week This includes a $10 book fee, good for the whole year!
Checks are made to Kathy Whiteside or Whiteside Agency- thank you
Payment Method (check one) ________CASH ________ CHECK #_____________________
CASH PAYMENTS MUST BE SEALED IN AN ENVELOPE, AND HAVE YOUR CHILD’S NAME ON THE OUTSIDE OF THE ENVELOPE, AND BE DESIGNATED “PIANO CLASS” PLEASE GIVE THEM TO ME DIRECTLY, SO WE CAN BE SURE OF SECURE DELIVERY!
MUSIC ROOM is ROOM 124
