SHARON BAPTIST MUSIC ACADEMY

Registration Form

Summer 2010 (July 8-Aug. 26)

Today’s Date ___________________ 

Student’s Name _______________________________         Age _____________

Street Address _______________________________

City State Zip __________________________________________________________________

Home Phone __________________________ E-Mail __________________________________

If student is living with Parents or Guardian, please complete:

Parent’s Name ____________________________________

Work or Cell Phone (Dad) _______________________ (Mom) ___________________________

INSTRUCTION REQUESTED

 Guitar $130 30-minute private lesson                Guitar $90 group lesson 

 Piano $130 30-minute private lesson                Piano $90 group lesson

 Voice $130 30-minute private lesson                Voice $190 45-minute private lesson  

 Voice $250 60-minute private lesson  

How many years of instruction have you had in the area checked above? _____________

Please list vacation dates and other anticipated schedule conflicts _________________________ 

______________________________________________________________________________

The first tuition installment ($65 for 30-min. private lessons; $45 for group lessons) must accompany this form. Make checks payable to Sharon Baptist Church and return the form and check to:

Sharon Baptist Music Academy, 116 Britt St., Smithfield, NC 27577.

Phone: 919-934-8845

Web: www.sharononline.org

Email: todd@sharononline.org

Summer 2010 Schedule

Please note variant times for piano and voice on Thursdays in order to accommodate scheduling conflicts.

Six dates constitute a summer semester

Voice (Julie Stewart)

Thurs., July 8, 3-7 pm

Thurs., July 15, 5-9 pm

Thurs., July 22, 3-7 pm

Thurs., July 29, 3-7 pm

Thurs., Aug. 5, 5-9 pm

Thurs., Aug. 12, 6-9 pm

Thurs., Aug. 19, 3-7 pm

Thurs., Aug. 26, 3-7 pm

Recital (optional)

Sunday, Aug. 29, 2 pm,

Sharon Baptist Church Sanctuary

Guitar (Andrew Tatum)

Mon., July 12, 9-12 am

Wed., July 14, 9-12 am

Mon., July 26, 9-12 am

Wed., July 28, 9-12 am

Mon., Aug. 2, 9-12 am

Wed., Aug. 4, 9-12 am

Mon., Aug. 9, 9-12 am

Wed., Aug. 11, 9-12 am

Mon., Aug. 16, 9-12 am

Wed., Aug. 18, 9-12 am

Mon., Aug. 23, 9-12 am

Wed., Aug. 25, 9-12 am