TheRidgewoodConservatory


SUMMER 2009 SEMESTER REGISTRATION

The information on this page may be printed and used as a registration form. Please print clearly…

STUDENT ENROLLMENT FORM -- SUMMER 2009 SEMESTER

Student’s Name ____________________________________________________________
Date of Birth _________________ Current Grade as of 9/09 ______________
Mini-Music, Mini-Dance, One-Week Ensemble and
'Try An Instrument' students, please circle appropriate T-Shirt size:

Child: 12mos. 2T 4T XS(5-6) S (6-8) M (10-12) L (14-16) Adult: S M L XL

Street Address ________________________________________________
City, State, Zip ________________________________________________
Phone: Home ________________________________________________
Phone: Other ________________________________________________
E-Mail (Parent/Guardian
or Adult Student)
________________________________________________
Print Name of Parent/
Guardian or Adult Student
________________________________________________

Please describe briefly any health/psychological issues or learning disabilities

___________________________________________________________________

May TRC use photos/videos of you and/or your child for publicity purposes? ___Y ___N

Once confirmed, tuition fees are not refundable. Private or group lessons cancelled
by students WILL NOT BE RESCHEDULED. Please acknowledge cancellation policy
by signing below. Your registration will not be processed without your signature.

X______________________________________________________________________
Signature Of Child’s Parent/Guardian Or Adult Student


PRIVATE INSTRUMENT, VOCAL, ACTING INSTRUCTION
Private lessons generally begin at 3PM.
Check the weeks during which you are available
- or indicate day/time preferences, if any. You will be called to schedule lesson times.

WEEK

#1

#2

#3

#4

#5

#6

#7

#8

#9

#10

STARTING ON

6/22

6/29

7/06

7/13

7/20

7/27

8/03

8/10

8/17

8/24

TIME/DAY AVAILABILITY

_____

_____

_____

_____

_____

_____

_____

_____

_____

_____

Check boxes for Private Lessons and/or 'Try An Instrument.'
Enter the number of lessons selected and calculate total fees...

[ ] Private Lessons with

_____________________________

Instrument:*

_____________________________

*Minimum of 45-minute lessons on Violin, Viola
and Cello for students 6 years and older.

Total Fees

____ 30 min. lessons @ $42.60/lesson

$ __________

____ 45 min. lessons @ $63.90/lesson

$ __________

____ 60 min. lessons @ $85.20/lesson

$ __________

[ ] Private Lessons with

Louis Caimano (current students only)

Instrument:

_____________________________

Total Fees

____ 30 min. lessons @ $47.60/lesson

$ __________

____ 45 min. lessons @ $71.40/lesson

$ __________

____ 60 min. lessons @ $95.20/lesson

$ __________


[ ] “Try An Instrument” (Three 30-minute sessions per instrument)

Mark the instrument(s) to be studied...

__PIANO

__VIOLIN __VIOLA __CELLO __bass __guitar
__alto sax __flute __Clarinet __bassoon __oboe __voice
__Trumpet __TrOMBONE __fr. horn __PERCUSSION

Total Fees

First Instrument

___ @ $140.00

$ __________

Each Addl. Instrument

___ @ $130.00

$ __________

TOTAL FOR PRIVATE INSTRUCTION

$ __________

ONE-WEEK ENSEMBLES:
One-Week Summer Ensembles will be scheduled for Mon-Fri on weeks #9 and #10.
Other weeks and times may be available upon request.

Please be sure to mark ALL the sessions for which you are available.
Groups will be formed subject to enrollment.

WEEK

#1

#2

#3

#4

#5

#6

#7

#8

#9

#10

STARTING ON

6/22

6/29

7/06

7/13

7/20

7/27

8/03

8/10

8/17

8/24

TIME/DAY AVAILABILITY

_____

_____

_____

_____

_____

_____

_____

_____

_____

_____

[ ] One-Week Ensembles (Five 1-hour sessions)
Check the ensemble(s) for which you are registering (level of study determined by audition).

__WoodwinD __sax __clarinet __Flute __jazz improv.
__percussion __guitar __brass __string __jazz

Instrument(s) to be played in ensemble: _________________________ No. yrs. studied _____

First ensemble: ___ @ 140.00; Each additional ensemble: ___ @ $130.00 each

TOTAL FOR ONE-WEEK ENSEMBLES

$ __________

MINI-MUSIC - EARLY CHILDHOOD MUSIC PROGRAMS FOR THE SUMMER
Six 45-Minute Classes - 7/7-8/15/09 (other days and times may be available)

Most classes are limited to 10 participants. Other days and classes may be available.

[ ] Early Childhood Music (six 45-minute sessions): $120 + $40 Course Materials = $160.00

Please circle ALL the class times for which you can be available...

__Family Music for Babies:   TUES 9AM   WED 8:30AM

__Family Music for Toddlers:   TUES 10AM   WED 9:30AM   SAT 9AM   SAT 10AM

__Cycle of Seasons:   TUES 11AM   WED 10:30AM   SAT 11AM   SAT 12:30PM

__Music Makers:   TUES 1PM   SAT 1:30PM

TOTAL FOR EARLY CHILDHOOD MUSIC PROGRAM

$ __________

MINI-DANCE - EARLY CHILDHOOD DANCE PROGRAMS FOR THE SUMMER
Six 45-Minute Classes - 7/9-8/15/09 (other days and times may be available)

Most classes are limited to 10 participants. Other days and classes may be available.

[ ] Early Childhood Dance (six 45-minute sessions): $120 + $40 Ballet Attire = $160.00

Please circle ALL the class times for which you can be available...

__Twinkling Stars:   THURS 9AM   SAT 2:30PM

__Ballet Bunnies:   THURS 10AM   SAT 3:30PM

__Cycle of Seasons:   THURS 11AM   SAT 4:30PM

TOTAL FOR EARLY CHILDHOOD DANCE PROGRAM

$ __________


TRC students enrolled in the Spring 2009 semester,
add $25 if registering after 6/12/09.

$ __________

TOTAL SUMMER 2009 FEES ENCLOSED

$ __________


PAYMENT FOR SUMMER INSTRUCTION

Payment in full MUST accompany registration. Tuition will be refunded if scheduled times do not meet your needs. Once confirmed, tuition fees are not refundable.

CANCELLATION POLICY

Private or group lessons cancelled by summer students will not be rescheduled.

All TRC instructors are professional musicians currently performing in the metropolitan area. In the event that a teacher is unable to be present due to performance responsibilities, the session will be rescheduled for another date during the summer or will be covered by another equally qualified instructor at the scheduled day and time.


Thank you. You will be advised of schedules and audition times (if applicable) by June 20, 2009.

Please fill out the Student Enrollment Form above and return by mail
with your check for the Total Summer 2009 Fees made payable to:

THE RIDGEWOOD CONSERVATORY
615 FRANKLIN TURNPIKE, RIDGEWOOD NJ 07450

SUMMER SEMESTER BEGINS ON JUNE 22, 2009. SPACE IS LIMITED.
PLEASE REGISTER BY JUNE 1, 2009 TO ENSURE ENROLLMENT.
LATE REGISTRATION BY AVAILABILITY.
FOR MORE INFORMATION, CALL 201-612-6686.