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Child(ren)'s Last Name:
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Child(ren)'s First Name:
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Parent's First Name:
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Parent's Last Name:
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Child Date of Birth:
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email address:
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Phone number:
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Address:
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City:
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Zip Code:
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Village (newborn to 18 months)
Zoom Buggy! + Dream Pillow
(12 lessons, 45 min. per lesson)
Tuition $330.00
(including $90 2 sets of Home Material)
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Our Time (18 months to 3 yrs)
Milk & Cookies
(10 lessons, 45 min. per lesson)
Tuition $255.00 (including $55 Home Material)
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Parent or Caregiver is required to attend Kindermusik class with the kid for Village, Our Time,
and Imagine That Classes. We believe parent or loving caregiver is a child’s first and most
important teacher.
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Little Musician (4.5 yrs - 7yrs)
Prep Piano Group Lesson
(10 lessons, 45 min. per lesson)
Tuition $260.00 (including $25.00 material)
Glockenspiel may be required to purchase
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Little Musician (5 yrs - 8 yrs)
Prep VIOLIN Group Lesson
(10 lessons, 45 min. per lesson)
Tuition $260.00 (including $20.00 material)
1/4 size violin is required to purchase
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Group Guitar Lesson (5 yrs - 8 yrs)
Level I
(10 lessons, 45 min. per lesson)
Tuition $260.00 (including $20.00 material)
1/2 size Guitar is required to purchase
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We, the undersigned parents/guardians of _____________________, do hereby certify that our child
is in good health and is able physically to participate in ARIA Music Academy program. We
recognize that children are occasionally hurt while engaged in play as well as during activities of this
type. We assume all risks applicable to our child’s participation in this activity. We hereby waive any
and all claims against ARIA Music Academy, and the owners of the building in the unlikely event of
injury sustained by our selves and our child(ren) during the course of, or as a result of this musical
activity. We have read and agreed to the Group Class Policies.
Signed _______________________________________ Date________________________
Please print this page before click "Submit" button.
Please send the copy of SIGNED registration form and payment to
ARIA Music Academy
1580A Noriega St
San Francisco, CA 94122
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ARIA Music Academy
2278 39th Ave., San Francisco, CA 94116
Tel: 650-255-3749 info@ariamusicacademy.com
© Copyright 2011 ARIA Music Academy
All Rights Reserved.
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