Saint Andrew Avellino After-School Music Program Registration
SPRING 2024

Student FIRST NAME:
Student LAST NAME:
Parent FIRST NAME:
Parent LAST NAME:
Grade:
Parent's Email (the one you check most frequently):
 
Home Phone Number (10 digits ONLY: e.g., 2125551234):
Parent's Work or Cell Number (10 digits ONLY: e.g., 2125551234):
I am registering my child, named above, for the following (choose ALL that apply):
Chorus
Guitar
Percussion
Strings

PAYMENT OPTIONS:

 
PIANO LESSONS (ONLY answer these two questions if the student is signing up for piano lessons):  
Piano Lessons Day: 
Instructor*:
* - I am willing to sign up with another Instructor if this Instructor is overbooked: Yes No