For mail in registration, please copy and paste the form below into your word processing program. Complete and mail to:
Bob Taylor
CCUM School of Fine Arts
5191 Caldwell Mill Rd.
Birmingham, AL 35243
For email registration, please copy, complete and email the form below to: Bob Taylor (btaylor@christchurchunitedmethodist.org)
For online registration, complete and submit the form in the right column.
Registration Form
FALL 2008
Area of Instruction: ______________________
Lesson: Private___ Music ___
Lesson Start Date: ________________________________
Student Name _______________________________________
Parent Name_________________________________________
Address_____________________________________________
City/State/Zip________________________________________
Phone - Home________________________________________
Work_______________________________________________
Cell_________________________________________________
Email_______________________________________________
Lessons Fee _____
Registration Fee ___
Total Paid _____ Full Payment ____ Two Payments ____
CHECKS ARE PAYABLE TO "CHRIST CHURCH SFA"
Check Number (if available) _____________
Amount of Check ______
Absences are made up at the discretion of the teacher. Lessons are contracted for one full term/semester.
Parent/Student signature __________________________________________
(Required for Mail in registrations only)
Today's Date_______________
Other important information or questions: ________________
____________________________________________________
For questions or additional information, please contact Bob Taylor, Director at Christ Church United Methodist, 205-991-5065.