Ali Akbar College of Music

Ali Akbar College of Music Registration Form:
Summer Session 2009, July 6th - August 29th
Complete this form only if you plan to attend the above session. To register for a different session please contact the office.

Returning Student? Speed up your registration.

If you have taken classes at the college before (since spring 2007), please check here, enter only your email address you used before, and select your classes.

Contact Information

First Name:*	Middle:		Last:*
Local Address:*
City:*	State:*		Zip:*
Home Tel:*	Work Tel:
Email Address:*
In case of emergency contact:
Yes, I can provide carpool assistance:		* Required Field

Youth Discount $75:

If you are under 16 or are registering a student who is, check here to receive your discount.

Classes you are taking: (check all that apply)

Introductory Vocal	Introductory Instrumental	Beginning Tabla (I/II)
Vocal I	Instrumental I	Tabla (after Tabla II)
	Instrumental II	Children's Tabla

*New* Private Review Classes:
Choose from 2-8 review clases to be scheduled at your discretion. Discounts increase with quantity starting with 2 classes for $70. Since this is a new offering, please contact the office if you are interested.

Supplemental classes: (check all that apply)

Tal Class (Rhythm)

Theory & History**

Sitar Workshop

** = Required minimum of 3 students to hold class

Private Lessons:

Select the number of lessons you wish to take, if any.

Tuition Fees
Master Classes
Amount Due:	$ 0
Supplemental Classes
Amount Due:	$ 0
Private Lessons
Amount Due:	$0
Total Due:	$ 0

Please observe the following terms:
Audio recordings and written notes of Ali Akbar College of Music classes cannot be used for commercial purposes.
Students are prohibited from giving class recordings or notes to anyone other than a registered student, or send or publish any notation over the Internet.

Note: If you decide to drop a class, please inform the office immediately so that
proper credit minus a non-refundable $25 registration fee can be issued. Paypal fees of 3% incurred by online registration will be charged to the student in the event of a refund.

I Agree.