ViBO Music School Registration Form (San Bruno)

ViBO Music Center
908 Paris Street, San Francisco, CA 94112
488 San Mateo Avenue, San Bruno, CA 94066
http://www.vibomusic.com

Student's Information

First Name *

Last Name *

Age Range *

Music Background (if applicable)

Lesson Information

Program Type *

Instrument *

If not listed, please specify

Lesson Length (private lessons)

Preferred Instructor (if applicable)

Workshop title (if applicable)

Ensemble Title (if applicable)

Contact Information

Relationship to Student *

Name (if you are not the student)

Address

City

State

Zip

Phone *

Alternate Phone

Email Address *

Other Information

Preferred times for lessons (please provide a few) *

How did you hear about us? *

Special Requests?

Payment Information (if you are ready to enroll)

Calculate the total amount of tuition (Get a free lesson when you purchase 12 lessons today)

	60-min Individual Lessons ($50)
	45-min Individual Lessons ($40)
	30-min Individual Lessons ($30)
	Annual Registration fee ($30)

We charge tuition by the month. There is an annual registration fee of $30.

School Policy:
Students agree to arrive at each lesson punctually, well prepared, and with all necessary materials.

Students arriving late will only receive the remaining time of the lesson.

Students are responsible for keeping their lessons time slots. If they miss a lesson, no make-up lessons will be given, unless with the instructor’s permission. Tuition is not refundable. If you plan to discontinue lessons, please notify ViBO Music one month ahead.

Yes, I've Read and Agreed to the Policy