TO: Name *

First Name

Last Name

FROM: Name *

First Name

Last Name

Phone *

(###)

###

####

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Amount *

$25.00 Cash or $25.50 on Venmo gift certificate or toward scholarship fund

$50.00 Cash $51.00 on Venmo or gift certificate or toward scholarship fund

$65.00 cash or $66.50 on Venmo (Deposit for foundation Level 1 & 2 classes)

$75.00 cash or $76.50 on Venmo (Deposit for Level 3 classes)

$100.00 cash or $103.00 on Venmo (Deposit for Level 4 & 5 classes)

$185.00 cash or $189.00 on Venmo (Class paid in Full for level 1 class)

$295.00 cash or $301 on Venmo (Class paid in Full for Level 2 class)

$344.00 or $351.00 on Venmo (Class paid in Full for level 4 Musicians class)

$356.00 cash or $363.50 on Venmo (Class paid in full for level 5 Musicians class )

Age group *

Foundation Level 1- ages 0-18 months

Level 2-ages 18 months -3yrs

Level 3 ages 3-5yrs

Level 4 or 5 ages 5-7yrs

Level 5 for ages 6 & 7yrs (for previous students only

Donation to our scholarship fund