Dalcroze Registration

Student

All fields marked with * are required.
First Name*:

Last Name*:

DOB*:

Class registering for:
JUNE SESSION: 4 Thursdays 6/7, 6/14, 6/21, 6/28 – $80 per 4 week session - with teacher Michael Joviala
3.5-5.5 years old 3:40-4:25pm2-3 years old 4:25-5:10pm5-7 years old 5:15-6pm
SUMMER SESSION 1: Tue 7/3, Thu 7/5, Tue 7/10, Thu 7/12 - with teacher Sabine Heubusch
3:30-4:15pm (4-5 years - child only)4:20-5:05pm (2-3 years - with adult)5:10-5:55pm (5.5-7 years - child only)
SUMMER SESSION 2: Mon 7/23, Thu 7/26, Mon 7/30, Thu 8/2, Mon 8/6, Thu 8/9 - with teacher Michael Joviala
3:30-4:15pm (4-5 years -- child only)4:20-5:05pm (2-3 years -- with adult)5:10-5:55pm (5.5-7 years -- child only)

Previous experience with music or other performing arts:

Anything else we should know about?

Where did you hear about Rubato Music School?

Parent/Guardian

First Name*:

Last name*:

Relationship w/ Student*:

E-mail*:

Cell Phone*:

Policies

• Each class may accept up to 10 participants. A minimum of 6 participants is needed for the class to take place. If a class cannot take place because of insufficient enrollment, student families will get fully reimbursed.
• The class fee is kept at a minimum. There will be no make-up options and no refunds for classes missed by students.

I have read and agree to the policies outlined above.