| Date (in the form of: xx/xx/xx) |
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Semester:
Fall |
Spring |
Summer |
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| Student's Name: |
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| School: |
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| Birthdate (for minors- in form: xx/xx/xx) |
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| Age:(minors) |
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| Grade: |
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| Parent's Name: |
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| Street Address: |
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| City, State, Zip |
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| Home Phone: |
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| Work Phone: |
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| Email: |
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| Cell Phone: |
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| Emergency Phone: |
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| If continuing student, name of teacher: |
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To register, a minimum deposit of $40, plus a nonrefundable $10
registration fee, is required for each class. Note: Piano deposits
are nonrefundable due to the expense of the audition process.
Tuition payment is due PRIOR to the first class and is nonrefundable
after the first week. Please read "Policy Information"
statement: Parents/students must subscribe to the policies of CSA
as stated on this website. Deposits are applied to the overall tuition
due and are nontransferable. On-line registration is NOT valid
without payment. Credit card payment can be made by phone: (501)
569-3480.
Please reserve a place for me in the following class(es).
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| First |
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| Second |
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| Third |
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I am calling in $
payment for tuition and registration fees: 569-3480.
Installment Plans: Installment plans are available
through the CSA office. Installment plans cost an additional $15
per semester.
For returning students only: 1/3 of the tuition,
plus the $15 installment plan fee and $10 registration fee is due
prior to the first class. The remaining 2/3rds are spread
over a 60 day period. Installment plan application must be completed
and submitted to the office prior to the first lesson.
For new students: one-half of the tuition and the
registration fee are due before the first day of class, plus a $15
installment plan fee; The remaining tuition is due in 30 days. Contact
the registrar for payment plan arrangements: 569-3480. Arrangements
must be made prior to the first day of lessons.
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I have read and subscribe to the program policies stated within
this website. (See "Policies"
statement) Required
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| Where did you hear about the CSA program? |
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I wish to contribute $
to the CSA Scholarship Fund for interested, promising children who
would otherwise be unable to attend. |
