ONLINE REGISTRATION

Please complete the following information to register for an Arts Institute course. After submitting the information, you will receive a summary of your registration by e-mail.

• STUDENT'S INFORMATION
  Last:    First:   

  Birth Date (MM/DD/YYYY): 

  Street: 

  City:  State:   Zip: 

  Phone (XXX-XXX-XXXX):       E-mail: 

                   
 If student is under 18 years of age:

    1 Parent/Guardian 

       Work Phone (XXX-XXX-XXXX): 

       Cell Phone (XXX-XXX-XXXX):

    2 Parent/Guardian 

       Work Phone (XXX-XXX-XXXX): 

       Cell Phone (XXX-XXX-XXXX):

                   
• COURSE REGISTRATION
  PRIVATE MUSIC LESSONS (Traditional and Suzuki)
    Full term (14 weeks):January 11 - April 25, 2010
    30-minute lesson @ $20 ea. x 14 weeks = $280.00
    45-minute lesson @ $30 ea. x 14 weeks = $420.00
    60-minute lesson @ $40 ea. x 14 weeks = $560.00		 Half term (7 weeks): March 1- April 24, 2010
30-minute lesson @ $20 ea. x 7 weeks = $140.00
45-minute lesson @ $30 ea. x 7 weeks = $210.00
60-minute lesson @ $40 ea. x 7 weeks = $280.00
Select the desired course and teacher, day and time of lesson (if known), the number of lessons (14 or 7), and the tuition total. Enter a lesson time only if you have confirmed this time with the instructor. If you need the instructor's contact information, please contact the Arts Institute at (812) 941-2436 or e-mail seartsin@ius.edu.
 COURSE/CODE/TEACHER  DAY  TIME  LENGTH  LESSONS  TUITION
                   
  CLASSES (Kindermusik, Theatre)
    Full term (14 weeks): January 16 - April 25, 2010
     		 Half term* (7 weeks): March 1 - April 25, 2010
 
 COURSE CODE and TITLE  TUITION
                   

• PAYMENT INFORMATION

Upon submitting this form, you will be redirected to the IUPay system where you can make a secure credit card payment.

If you wish to pay by check or money order, please download a printable registration form and mail it along with your payment.

     TUITION TOTAL
Registration Fee
($10 individual / $15 family)
After Aug. 28  Late Registration Fee
($10 individual / $25 family)
          FINAL TOTAL DUE
          Amount of Payment
(At least 1/2 of total due at time of registration)
          BALANCE DUE
(balance due by March 1)
                   
  
                   

If you prefer not to register online, you can download a printable Registration Form to mail in along with your payment. The free Adobe® Acrobat Reader® is required to view and print the form.

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