Spring Keyboard Registration

Nurturing Expression rough the Language of Music

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Courses
Beginning Keyboard Fundamentals: Level 1 (Ages 4 - 5 )
- Wednesday 4:00-4:45 pm - Thursday 10:30-11:15 am - Friday 2:00-2:45 pm - Instructors: Anne Breeden-Ehmke, Wednesday Yukiko Kimura, Thursday/Friday - Tuesday 4:15-5:00 pm - Instructor: Katie McClave - Tuesday 3:30-4:15 - Thursday 4:00-4:45 pm - Instructors: Katie McClave, Tuesday Angela Miller-Niles, Thursday - Monday 4:00-4:45 pm - Tuesday 5:00-5:45 pm - Instructors: Nancy Fitzgerald, Monday TBA, Tuesday - Wednesday 4:45-5:30 pm - Instructor: Angela Miller-Niles _____ Wed: Jan. 25 - Apr. 25 (no class March 28) _____ Thu: Jan. 26 - Apr. 26 (no class March 29) _____ Fri: Jan. 27 - Apr. 27 (no class March 30)

Cost
$260

Pay
$

Beginning Keyboard Fundamentals: Level 1 (Ages 5 - 7 )

_____ Tue: Jan. 24 - Apr. 24 (no class March 27)

$260 $260

$ $

Beginning Keyboard Fundamentals: Level 2 (Ages 5 - 7 )

_____ Tue: Jan. 24 - Apr. 24 (no class March 27) _____ Thu: Jan. 26 - Apr. 26 (no class March 29)

Beginning Keyboard Fundamentals: Level 1 (Ages 6 - 8 )

_____ Mon: Jan. 23 - Apr. 30 (no class Feb. 20 or Mar. 26) _____ Tue: Jan. 24 - Apr. 24 (no class March 27)

$ 260

Beginning Keyboard Fundamentals: Level 2 (Ages 6 - 8 )

_____ Wed: Jan. 25 - Apr. 25 (no class March 28)

$255

PLEASE TURN OVER FOR MORE INFORMATION

OFFICE USE ONLY: Payment Type: Intake Initials: Database Initials:
Dana V Music

Amount: Date: Date:

www.danavmusic.com

Mailing Address 901 Front Street, Suite B150, Louisville, CO 80027 (303) 974-5586

Courses (Continued from p.1)

Beginning Keyboard Fundamentals: Level 1 (Ages 8 - 11 )
- Monday 4:45-5:30 pm - Instructor: Nancy Fitzgerald _____ Mon: Jan. 23 - Apr. 30 (no class Feb. 20 or Mar. 26)

Cost
$260

Pay
$

Beginning Keyboard Fundamentals: Level 2 (Ages 8 - 11 )

- Thursday 4:45-5:30 pm - Instructor: Bette Weir _____ Thu: Jan. 26 - Apr. 26 (no class March 29)

$260

Adult Keyboard Fundamentals (Ages 12-Adult)

- Wednesday 7:00-8:00 pm - Instructor: Angela Miller-Niles _____ Wed: Jan. 25 - Apr. 25 (no class March 28)

$280

I am interested in private lessons. Please contact me: (check all that apply)
Voice Piano Violin Viola Guitar

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I agree to indemnify and hold harmless Dana V. Music, its officers, employees, agents, consultants, subcontractors, insurers and representatives (collectively Dana V. Music), for any loss, damage, or injury to myself or my property in any way related to my participation in Dana V. Music's programs. This release of Liability applies to me as well as any of my children, personal representatives, assigns, heirs, and next of kin. I authorize Dana V. Music in a medical emergency to seek emergency medical assistance at my expense. Signature of Participant (parent or guardian) Date

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Dana V Music

Mailing Address 901 Front Street, Suite B150, Louisville, CO 80027 (303) 974-5586

www.danavmusic.com