Register

You can register one of two ways:

Call 859-273-9991 to register over the phone with your Visa or Mastercard. 

Print off this page to fill out the form; mail, fax (859-273-8195) or drop off the completed form.    Please make checks payable to Music Institute of Lexington.


General Registration
Sign up for: Price
Cycle of Seasons $75+$25
Family Music $75+$25
Twist and Turn $75+$25
Camping at the Seashore $75+$25
 Petite Pianists: Beginners $100+$25
Petite Pianists: Advanced $100+$25
Weekly Private Lessons: 8 thirty-minute lessons

Instrument:_________________________________

$200

 

MADcamp Registration
Check the box for the session(s) you wish to attend: Session 1: July 7-11

Session 2: July 14-18

Session 3: July 21-25

Session 4: July 28-August 1

Check the box for the appropriate age group(s): 4-6 year olds

7-9 year olds

10-12 year olds

Price per student per session:

Additional fee for after-care (4-5pm)

$198+$25

$25

Subtotal: _________________                           

Registration Fee:  $10.00                                     

Total: ____________________                          

Student's Name: _____________________________________________
Age: _____   Birthdate:________  Male  Female
Parents' Names: ____________________________________________
Address: __________________________________________________
City: __________________________  State: ______  Zip: ___________
Home Phone: __________________  Work Phone: _________________
Cell Phone: ____________________  Email: ______________________
Method of Payment: Check  Visa/MasterCard                                       
Card #: _____________________________Expiration Date: _________
Authorization to charge credit/debit card:
Signature: ________________________________________________

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