Preparatory Division NEW Student - FALL 2017

Registration Form for New Students

* Indicates required field
Student Name Student Name First Last
DOB DOB / MM / DD YYYY
Gender
Grade in School
School Name
Please list any siblings enrolled in the Prep Program
PARENT/GUARDIAN INFORMATION
1. Name (Mr. Mrs. Dr. Ms.)
Cell Phone for Parent/Guardian #1 Cell Phone for Parent/Guardian #1 - ### - ### ####
Home Phone Home Phone - ### - ### ####
Email for Parent/Guardian #1
Relationship to Student
2. Name (Mr. Mrs. Dr. Ms.)
Cell Phone for Parent/Guardian #2 Cell Phone for Parent/Guardian #2 - ### - ### ####
Home Phone Home Phone - ### - ### ####
Email for Parent/Guardian #2
Relationship to Student
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Emergency contact #1 (other than parent): Emergency contact #1 (other than parent): First Last
Emergency contact #1 phone Emergency contact #1 phone - ### - ### ####
Emergency contact #2 (other than parent): Emergency contact #2 (other than parent): First Last
Emergency contact #2 phone Emergency contact #2 phone - ### - ### ####
Registering for (if applicable):
Primary Instrument:
Yrs of study:
Secondary Instrument (to be studied in Prep Division):
Yrs of study:
Additional Instrument (to be studied in Prep Division):
Yrs of study:
PRIVATE INSTRUCTIONS AVAILABLE FOR:

Piano, Violin, Viola, Cello, Double Bass, Guitar, Voice, Clarinet, Saxophone, Trombone, Composition, Percussion
FULL PROGRAM: Lessons + Musicianship

FULL PROGRAM: Lessons + Musicianship Full Program: 30 Minute Private Lesson & Musicianship -- $1,180 Full Program: 45 Minute Private Lesson & Musicianship -- $1,555 Full Program: 60 Minute Private Lesson & Musicianship -- $1,930
SECONDARY INSTRUMENTS/VOICE LESSONS

SECONDARY INSTRUMENTS/VOICE LESSONS 30 Minute Secondary or Additional Instrument/Voice Lesson -- $610 45 Minute Secondary or Additional Instrument/Voice Lesson -- $915 60 Minute Secondary or Additional Instrument/Voice Lesson -- $1,220
ADDITIONAL INSTRUMENTS/VOICE LESSONS

ADDITIONAL INSTRUMENTS/VOICE LESSONS 30 Minute Secondary or Additional Instrument/Voice Lesson -- $610 45 Minute Secondary or Additional Instrument/Voice Lesson -- $915 60 Minute Secondary or Additional Instrument/Voice Lesson -- $1,220
EARLY CHILDHOOD MUSIC CLASSES

EARLY CHILDHOOD MUSIC CLASSES Ages 4-6 Children’s Chorus -- $175 Ages 2-3 Music and Movement I -- $325 Ages 4-6 Music and Movement II -- $405 Ages 4-6 Music & Movement II AND Chorus -- $555
CHORUS AND VOCAL ENSEMBLES

CHORUS AND VOCAL ENSEMBLES Ages 7-9 Senior Chorus -- $175 30 Minute Vocal Ensemble (for non-full program students) -- $210 30 Minute Vocal Ensemble (for full program students) -- $175
CHAMBER MUSIC AND ENSEMBLES

CHAMBER MUSIC AND ENSEMBLES 30 Minute Chamber Music -- $290 45 Minute Chamber Music -- $435 60 Minute Chamber Music -- $580 60 Minute Jazz Ensemble -- $225 (for Full Program Students) 60 Minute Jazz Ensemble -- $300 (for NON-Full Program Students)
OPTIONAL CLASSES

OPTIONAL CLASSES 60 Minute Musicianship Class -- $405 30 Minute Rhythm Training and Drumming Class -- $175 30 Minute Chinese Class -- $105 45 Minute Chinese Class -- $155 30 Minute Chinese Private Lessons -- $225 45 Minute Chinese Private Lessons -- $335
DISCOUNTS

DISCOUNTS 5% Sibling Discount (off the lower tuition) 10% Bard Employee Discount
FEES

FEES One-time application fee for NEW STUDENTS -- $30 Musicianship Materials Fee (for Musicianship & Full Program Students, per semester) -- $25 4 Monthly Installment Plan -- $5 (must submit credit card auto payment or post dated checks)
SCHOLARSHIP APPLICANTS:

Must submit separate paperwork by June 1, 2017:

1. A copy of 2016 tax return (page 1 of 1040 form)
2. A brief letter of explanation regarding any extenuating financial circumstances.
Please check if applying for Scholarship

Please check if applying for Scholarship
Yes
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:
(An invoice with the tuition balance will be emailed to you after we
receive the deposit) $ Dollars . Cents
In order to complete registration, please submit by MAIL
$100 non-refundable deposit:

CHECK (made payable to Bard Conservatory Preparatory Division)
please indicate STUDENT'S NAME on check

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 NEW Student - FALL 2017

Preparatory Division NEW Student - FALL 2017

* Indicates required field

PARENT/GUARDIAN INFORMATION

Registering for (if applicable):

PRIVATE INSTRUCTIONS AVAILABLE FOR:

SCHOLARSHIP APPLICANTS: Must submit separate paperwork by June 1, 2017: 1. A copy of 2016 tax return (page 1 of 1040 form) 2. A brief letter of explanation regarding any extenuating financial circumstances.

In order to complete registration, please submit by MAIL $100 non-refundable deposit: CHECK (made payable to Bard Conservatory Preparatory Division) please indicate STUDENT'S NAME on check 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

SCHOLARSHIP APPLICANTS:

Must submit separate paperwork by June 1, 2017:

1. A copy of 2016 tax return (page 1 of 1040 form)
2. A brief letter of explanation regarding any extenuating financial circumstances.

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

CHECK (made payable to Bard Conservatory Preparatory Division)
please indicate STUDENT'S NAME on check

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