YMES Registration Form

YAMAHA MUSIC SCHOOL

57 Bedford Street Lexington, MA 02420
Tel: 781.274.7100 • Fax: 781.274.7120
E-mail: ymsboston@yamaha.com • Web: http://www.ymsboston.com

CLASS SCHEDULE:

FA 08 Class Schedule
08-09 School Calendar
08-09 Tuition and Fees
YMS Policy Sheet


* indicates required fields
*New Student?	Yes No
*First name:		*Last name:
*Gender:	Male Female	*Date of birth:	(01/01/1999)


New Student?	Yes No
First name:		Last name:
Gender:	Male Female	Date of birth:	(01/01/1999)


*First name:	*Last name:
First name:	Last name:
*Address:

*City:	*State:	*Zip code
*Home Phone:	Cell Phone:
*E-mail:
E-mail other:


How did you find out about us?
Other:


Click here for Tuition and Payment Information
Music Wonderland (Age 3-4)
Junior Music Course (Age 4-5)
Junior Extension Course
Young Musicians Course (Age 6-8)
Keyboard Encounters (Adult)
Private Lessons (30 min)
Private Lessons (45 min)
Private Lessons (60 min)
Private Lesson Instrument
Summer Session (Age 4-8)
Summer Private Lessons (Age 8 - Adult)

Refer to our class schedule for available class times.

*Choice 1:

Choice 2:

Choice 3:

Class Time Suggestion:

Please contact the school for available private lesson times.

Additional Comments:


Payment option:
Returning Familes -- use Credit Card on file?
Credit Card:
Credit Card Number:	- - -
Expiration:	Month: Year:
Name on Card:


*The signer understands and agrees to the Absence/Schedule and Withdrawal/Refund Policy and accepts responsibility for charges and fees that may be incurred.

*We do not give away contact information.

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