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PERFORMING ARTS MUSIC LESSONS REGISTRATION 2022-2023

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MUSIC LESSONS REGISTRATION

PERFORMING ARTS FALL 2022-2023 MUSIC LESSONS

If you wish to sign up for dance classes, please use the Performing Arts Fall 2022-2023 Dance Program form.

1st Student's Name *

First

Last

1st Student's Gender *

Male
Female

1st Student's Birth Date *

1st Student's Medical Items (i.e. allergies)

Class Sign-up for 1st Student

1st Class Name, Price and Number *

Prices are shown as three-term payment plan pricing. Multiply the price by three to view total cost of class.

Recital?

Yes
No

Want to sign-up this student for a second class? *

2nd Class Sign-up

2nd Class Name, Price and Number *

Prices are shown as three-term payment plan pricing. Multiply the price by three to view total cost of class.

Recital? *

Yes
No

Would you like to sign-up a second student? *

Yes
No

2nd Student

2nd Student's Name *

First

Last

2nd Student's Gender *

Male
Female

2nd Student's Birth Date *

2nd Student's Medical Items (i.e. allergies)

Class Sign-up for 2nd Student

1st Class Name, Price and Number *

Prices are shown as three-term payment plan pricing. Multiply the price by three to view total cost of class.

Recital? *

Yes
No

Want to sign-up this student for a second class? *

2nd Class Sign-up

2nd Class Name, Price and Number *

Prices are shown as three-term payment plan pricing. Multiply the price by three to view total cost of class.

Recital? *

Yes
No

Would you like to sign-up a third student? *

Yes
No

3rd Student

3rd Student's Name *

First

Last

3rd Student's Gender *

Male
Female

3rd Student's Birth Date *

3rd Student's Medical Items (i.e. allergies)

Class Sign-up for 3rd Student

1st Class Name, Price and Number *

Prices are shown as three-term payment plan pricing. Multiply the price by three to view total cost of class.

Recital? *

Yes
No

Want to sign-up this student for a second class? *

2nd Class Sign-up

2nd Class Name, Price and Number *

Prices are shown as three-term payment plan pricing. Multiply the price by three to view total cost of class.

Recital? *

Yes
No

Total Cost for Registration

$ 0.00

Prices are shown as three-term payment plan pricing. Multiply the price by three to view total cost of class.

PARENT INFORMATION

Parent Name *

First

Last

Address *

City *

State *

Zip Code *

Primary Phone *

Mom's Cell Phone

Dad's Cell Phone

Email Address *

Alternate Email Address

Is this Address/Contact Information New? *

Do You Attend Mt. Zion Church? *

Yes
No

MT ZION PERFORMING ARTS WAIVER (REQUIRED)

I give Mt. Zion and its assigns the irrevocable right to use graphic images such as photographs, video, and digital pictures of the enrolled student taken in past, and future gatherings, rehearsals, performances, on and off the premises for advertisement and instructional purposes. Advertisements include, but are not limited to, print media, web, and social networks such as Facebook and Twitter. I hereby release and agree to hold harmless Mt. Zion and its assigns from any liability by virtue of any blurring, distortion, alteration, or use in composite form whether intentional or otherwise that may occur in the taking or processing of the photographs. I hereby assume responsibility, and release Mt. Zion, its employees, sponsoring organizations, etc. from all responsibility for my child if he/she leaves the building for any purpose I hereby assume all responsibility for myself and for my children while participating in activities sponsored by Mt. Zion. I acknowledge that participation in the activities offered by Mt. Zion Performing Arts involves risk to the participant (and to the participant’s parents or guardians, if the participant is a minor), and may result in various types of injury including, but not limited to, the following: sickness, exposure to infectious/communicable disease, bodily injury, death, emotional injury, personal injury, property damage, and financial damage. I waive all claims for liability against Mt. Zion, its employees/instructors, its assigns in case of injury. I release and promise to indemnify, defend, and hold Mt. Zion harmless for any injury arising directly or indirectly out of participation in Mt. Zion Performing Arts. I commit my child to performing in all rehearsals and shows that are required for the Mid-Year Spotlight and May performance. I have read, understand, and agree to all the policies and procedures including payment terms as well as refunds/cancellations for registered classes as found in the published Registration Booklet at Mt. Zion Performing Arts. I am of legal age, or the parent or legal guardian of the enrolled student(s). SIGN BELOW *

PAYMENT INFORMATION

I understand to confirm my registration and class enrollment Mt. Zion Performing Arts must receive my total payment due within 10 business days. Choose between the options below to submit payment:

Payment Plan Desired (Choose One) *

Full Year in Advance – Tuition in full and music class is paid at time of registration.
Three Term Payment Plan – One third of full season tuition and music class fee is due at time of registration with the balance of tuition split between 2nd and 3rd billing.

Payment Method (Choose One) *

Sent via Zelle to tuition@mtzionPA.com (be sure to note Performing Arts in the memo)
Check is being mailed to: Mt. Zion Performing Arts, 4900 Maybee Rd, Clarkston MI 48348
I will come in and pay during office hours
Call me for payment over the phone with a credit card
I overpaid on a previous payment. Please use my credit balance.

For Office Hours, Click Below

Office Hours

MT ZION NEWS

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NAME *

First

Last

EMAIL *

Comment

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PERFORMING ARTS MUSIC LESSONS REGISTRATION 2022-2023

PERFORMING ARTS FALL 2022-2023 MUSIC LESSONS

Class Sign-up for 1st Student

2nd Class Sign-up

2nd Student

Class Sign-up for 2nd Student

2nd Class Sign-up

3rd Student

Class Sign-up for 3rd Student

2nd Class Sign-up

PARENT INFORMATION

MT ZION PERFORMING ARTS WAIVER (REQUIRED)

PAYMENT INFORMATION

I understand to confirm my registration and class enrollment Mt. Zion Performing Arts must receive my total payment due within 10 business days. Choose between the options below to submit payment:

For Office Hours, Click Below

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