Amati Summer Registration Form 2009

Earlybird Registration Deadline: May 15, 2009

Registration Deadline: June 1, 2009

Amati reserves the right to cancel courses & camps

with fewer than 4 participants

Student’s Name:

_______________________________

Address:________________________

_______________________________

_______________________________

Postal Code:_____________________

Email:__________________________

Mother’s Name:

_______________________________

Father’s Name:

_______________________________

Phone Number(s):

_______________________________

_______________________________

Emergency Contact #:

_______________________________

Medical # (necessary for camps where child is being left unattended by parent):

Age:____Birthdate (d/m/y):

Grade(Sept. 09)

Instrument:______________________

Years of Study:___________________

Level:___________________________

Is there any information regarding special circumstances, learning disabilities or medical conditions that we should know about in order to help us teach your child to the best of our ability?

__________________________________________

__________________________________________

_____________________________________________________

COURSES REGISTERED FOR:

Adventures in Music: Ages 3-5

c July 13 to 17 – 10:30am-11:15am............$125

c July 13 to 17 – 2:30pm-3:15pm..............$125

c July 20 to 24 – 10:30am-11:15am............$125

Beginner Violin/Viola: Ages 3-5 (includes instrument)

c July 13 to 17 – 9:15am-10:15am..............$150

c July 13 to 17 – 1:15pm-2:15pm................$150

c July 20 to 24 – 9:15am-10:15am..............$150

Beginner Violin/Viola: Ages 6-7 (includes instrument)

c July 13 to 17 – 4:00pm-5:00pm................$150

c July 20 to 24 – 11:30am-12:30pm............$150

Children’s Beginner Guitar: (guitar to take home/keep)

c July 13 to 17 – 10:30am-11:30am............$225

c July 13 to 17 – 2:15pm-3:15pm................$225

c July 20 to 24 – 10:30am-11:30am............$225

Choral & Guitar Camp: Ages 6-13

c July 6 to 10 – 9:00am-12:30pm................$225

c July 27 to 31 – 9:00am-12:30pm..............$225

Violin Camp: Ages 6-13

c July 6 to 10 – 1:00pm-4:30pm..................$225

c July 20 to 24 – 1:00pm-4:30pm................$225

Full Day Camp: Ages 6-13

c July 6 to 10 – 9:00am-4:30pm..................$400

Music Theory/History:

c Basic Rudiments.....................................$300

c Intermediate Rudiments..........................$300

c Advanced Rudiments..............................$300

c History 1..................................................$400

c Basic Harmony........................................$400

c Intermediate Harmony.............................$400

Reg Fee After May 15^th ...................................................$10

Total Tuition Fee.......................................$ ____

All Day & Half Day Camps only, please indicate t-shirt size:

Child S M L

Parent/Guardian Signature:

NB: Summer Camp Tuition

Refundable less 30% before June 1^st 2009 only.

NO REFUND FOR PRIVATE INSTRUCTION.

No refunds for SUMMER CAMPS after June 1^st

Registration fee non-refundable.