SBCA REGISTRATION: MUSIC
Summer, 2015: Monday, June 8 - Saturday, August 15

SUMMER 2015 TERM

For the summer, we offer flexible numbers of lessons because of vacations and other summer activities.

STUDENT INFORMATION - The Student
NAME:

Last Name

First Name

MI
GENDER/DATE OF BIRTH:
Male  Female   DOB:   
COURSE OF STUDY
LESSON/SESSION LENGTH:  30      45      60
LESSONS DESIRED:
COMMENTS:
PRIOR STUDY:  Number of years of prior study in this course
BILLING INFORMATION - Person paying the tuition.
NAME:

Last Name

First Name

MI
STREET/APT:

Street

Apt
CITY/STATE/ZIP:

City

State

ZIP
HOME PHONE:
WORK PHONE:
CELL PHONE:
E-MAIL:
MEMBER:  Yes    No
Member of St. Barnabas? (Used for statistical purposes only)
    


WORSHIP: Sunday, 9:00 AM, 10:30 AM • Saturday, 5:00 PM