SoBe Music Institute
2100 Washington Avenue (Carl Fisher Clubhouse)
Miami Beach, Florida 331349 - (305) 674-9220

Music for Youth Registration Form - Summer 2008

Please fill all spaces then press submit at bottom of page or download pdf form for printing. Send your $25 membership fee (non refundable) (if required) and tuition payment to address below or pay online. Email or send a wallet size picture of your child. 

Student Information

Students Name:
    Male     Female       Age

Students Date of Birth:

*Ethnic background: White     Black    Hispanic    Native American    Asian     other  

*Any disabilities or special attention your child may need: (explain)


Parents Name:

Address:

City:    State:     Zip Code:

Email:

Phone Numbers:

Home:   Cellular:

Work: (Check main contact number)

Previous Enrollment Information

SoBE Music Institute? Yes No

What dates did your child attend?      From:   To:

What Instrument?

Group Classes or Private Lessons?

If not does child have any previous music experience? Please Explain


Enrollment Information

1st Choice Instrument (pick one) violin cello flute oboe trumpet guitar piano saxophone

2nd Choice Instrument (pick one) violin cello flute oboe trumpet guitar piano saxophone

Other


Summer Session

Kids (ages 6-11) 8 Week Session (June 16 – August 9)

            Monday, Wednesday & Friday 3:00 – 6:00PM


Teens (ages 12-17) 8 Week Session (June 16 – August 9)

            Tuesday & Thursday 3:00 – 6:00PM

Four Week Program (limited to 10 intermediate/advanced students in each session)

            June 16 - July 12 Session
            July 14 - August 9 Session


In signing this form, I acknowledge that failure to disclose and submit accurate information may result in denial of admission to the institute I certify that all information provided is complete and true.

Signature:                     Date:


Printed Name: