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

After-Work Program
POP/ROCK/FOLK STUDIES
Adult Registration Form - Fall & Spring 2008/09

Please fill all spaces then press submit at bottom of page or download pdf form for printing. Send your $25 (non-refundable*) registration payment to address below or pay online at www.sobemusic.org. (Registration fee is refundable if there is not enough enrollment for the class to meet - in that case the fee may be refunded or applied to another class or private lessons).

Student Information

Students Name:
    Male     Female       Age

(*optional)
*Ethnic background: White     Black    Hispanic    Native American    Asian     other  

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


Address:

City:    State:     Zip Code:

Email:

Phone Numbers:

Home:   Cellular:

Work: (Check main contact number)

Enrollment

Fall Session

17 Week Session (September 8th – January 17th)

Monday & Wednesday 5:30-9:00 (Class Times TBA)

Saturday 10:00AM - 7:00PM(Class Times TBA)

Spring Session

17 Week Session (January 26th – May 30th)

Monday & Wednesday 5:30-9:00 (Class Times TBA)

Saturday 10:00AM - 7:00PM(Class Times TBA)

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:

 

 

Flute
beginner
intermediate
advanced


Saxophone
beginner
intermediate
advanced


Electric/Acoustic Guitar
beginner
intermediate
advanced


Keyboards
 beginner
intermediate
advanced


Electric/Acoustic Bass
beginner
intermediate
advanced


Vocals
 beginner
intermediate
advanced