New Student Application Student's First Name * Student's Last Name * Student's Date of Birth MM DD YYYY Student's Age * Student's School Desired Start Date * Fall Semester (12 weeks: Sept-Dec) Winter Semester (12 weeks: Jan-April) Spring Semester (6 weeks: April-May) Summer (June-Aug) ASAP Early Childhood Music Classes * Ages 3 and Younger (Tuesdays 4:40-5:10) Ages 4 and 5 (Tuesdays 4:40-5:10) Not Taking Early Childhood Music Classes Private Lessons * Yes No Ensembles * (free for those taking private lessons) Piano Ensembles (Mondays 3:45-4:30) String Ensembles (Tuesdays 3:45-4:30) Chamber Group (Age: must be 8th grade or older. Level: Strings - Equivalent of Suzuki Book 4 or higher. Piano - Equivalent of Masterwork Classics 7 or higher. Groups will be scheduled on Mondays or Tuesdays using availability listed on this form.) Not Participating in Ensembles Theory Classes * (free for those taking private lessons) Theory Classes (4 levels offered on Tuesdays from 4:40-5:10) Not Participating in Theory Classes List any health information (such as allergies) you would appreciate us knowing about. Parent/Guardian's Name * First Name Last Name Parent/Guardian's Phone * (###) ### #### Parent/Guardian's Email * Parent/Guardian's Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Who should be billed for the tuition? * Parents Academy of Excellence WYSO Other (please include info below) Billing Info If tuition is not being paid by the parents, WYSO, or AoE, please provide the details below including first name, last name, phone, email, and mailing address: Select Payment Preference * Monthly (4 equal payments per semester) Semester (1 payment per semester) Year (1 payment per year) Promo Code How did you hear about Music Prep? * Word of Mouth Social Media Website Other Word of Mouth If you heard about Music Prep via Word of Mouth, we would love to thank the person who recommended us. Please share their name below. Thank you. Music Prep Policies * All Students: I agree to abide by Maranatha Music Prep School's financial policies on the tuition page and general policies on the enroll page. I also understand that we are financially committing to the entire semester of lessons/classes. I have emailed a current photo of the registrant to musicprep@mbu.edu. Photos are stored in a database for the MBU security team in the event of an on-campus emergency or missing child situation. Please write any questions or concerns you would like to discuss: PRIVATE LESSONS Only students taking private lessons need to complete this section. Private Lessons: Select Instrument NA Piano Voice Percussion Violin Viola Cello String Bass Flute Clarinet Saxophone Oboe Bassoon Trumpet Horn Trombone Euphonium Ukulele Private Lessons: Select Lesson Length NA 30 Minutes 45 Minutes 60 Minutes Private Lessons: List your first and second lesson time choices Private Lessons: List any weekdays and time slots you CANNOT attend lessons Private Lessons: If your lessons need to be coordinated with another class/lesson, please explain Private Lessons: Musical Background How long have you studied? What books are you currently using? What are your goals? Previous Teacher's Name First Name Last Name Previous Teacher's Email Address Private Lesson Policies I understand that new students will not be officially scheduled for private lessons until a non-refundable fee of $40 is received. The $40 fee will be credited to the first tuition payment. Within a week after registering, the billing administrator will email you a username and password for Music Teachers Helper, and the $40 fee may be paid online via this program. I am verifying that this student has an instrument for at-home practicing. Strings–the instrument is the correct size for this student. Piano–the piano is full size (88 keys), touch sensitive with weighted keys, and tuned if acoustic. Thank you for your registration. We look forward to working with you and your family in the near future.
