PREPARATORY DIVISION ADULT STUDENT - Fall 2017

* Indicates required field
Student Name Student Name First Last
Email
Please fill out ONLY IF address and/or contact information have changed in the last SIX MONTHS:

Address
Please fill out ONLY IF address and/or contact information have changed in the last SIX MONTHS:

Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
CONTACT INFORMATION
Cell Phone Cell Phone - ### - ### ####
Home Phone Home Phone - ### - ### ####
Registering for:
Primary Instrument:
Yrs of study:
Secondary Instrument:
Yrs of study:
Private instructions available for:

Piano, Violin, Viola, Cello, Double Bass, Guitar, Voice, Clarinet, Saxophone, Composition, Percussion
COURSE AND FEE

COURSE AND FEE Adult Private Lesson: 30 Minute (15 Lessons per Semester) -- $675 Adult Private Lesson: 45 Minute (15 Lessons per Semester) -- $1,013 Adult Private Lesson: 60 Minute (15 Lessons per Semester) -- $1,350
Application Fee for New Students only

Application Fee for New Students only $30
PAYMENTS

NON-REFUNDABLE $100 REGISTRATION DEPOSIT IS REQUIRED FOR EACH REGISTERED INSTRUMENT (applied towards tuition)

Registration will only be considered complete once we receive the deposit (payment must be mailed separately - see below). $ Dollars . Cents
Tuition Balance (Total Cost Minus Deposit(s)) DUE September 9, 2017: $ Dollars . Cents
In order to complete registration, please submit by MAIL
$100 non-refundable deposit:

CHECK (made payable to Bard Conservatory Preparatory Division)

or

CREDIT CARD
For Credit Card Form, please download from top of the page
or
http://www.bard.edu/conservatory/preparatory/application/
or
Email us at: [email protected]
Please mail checks and credit card forms to:

Bard Conservatory Preparatory Division
30 Campus Road
Annandale-on-Hudson, NY 12504-5000

We cannot guarantee a spot until your registration is complete.
Registration will only be considered complete once we receive the deposit.

An invoice will be emailed to you after we receive your completed registration and deposit.
NOTES

PREPARATORY DIVISION ADULT STUDENT - Fall 2017

PREPARATORY DIVISION ADULT STUDENT - Fall 2017

* Indicates required field

CONTACT INFORMATION

Registering for:

Private instructions available for:

In order to complete registration, please submit by MAIL $100 non-refundable deposit: CHECK (made payable to Bard Conservatory Preparatory Division) or CREDIT CARD

For Credit Card Form, please download from top of the page or http://www.bard.edu/conservatory/preparatory/application/ or Email us at: [email protected]

Please mail checks and credit card forms to: Bard Conservatory Preparatory Division 30 Campus Road Annandale-on-Hudson, NY 12504-5000

In order to complete registration, please submit by MAIL
$100 non-refundable deposit:

CHECK (made payable to Bard Conservatory Preparatory Division)

or

CREDIT CARD

For Credit Card Form, please download from top of the page
or
http://www.bard.edu/conservatory/preparatory/application/
or
Email us at: [email protected]

Please mail checks and credit card forms to:

Bard Conservatory Preparatory Division
30 Campus Road
Annandale-on-Hudson, NY 12504-5000