About Our Teacher

REGISTRATION 2018-2019

Student Name:

Guardian Name (if applicable):

Student’s Email:

Parent/Guardian’s Email:
NOTE:    Newsletters are sent out electronically regularly. Please print your email clearly and add
               ispleit@hotmail.com   to your email’s safe list so that newsletters are not filtered into your junk mail.

Phone #:

Age:

School Grade in Sept 2018:

Address:                                                                                           City:

Emergency Contact Name:                                                                  Phone #:

Allergies/Medical Concerns:

FEES : (Sept 2018-June 2019)    Please choose one option per person:
1st Family Member:
□ Option 1: One cheque, dated May 5, for $370. received by May 5….. (after May 5 $380.) ($370)
□ Option 2: Deposit of $50. dated May 5 PLUS: One cheque dated Sept. 1 for $340.    ($390)
□ Option 3: Deposit of $50. dated May 5 PLUS: Two cheques, dated July 1/ Sept.1 for $170. each    ($390)
□ Option 4: Deposit of $50. dated May 5 PLUS: Four cheques, dated July 1/Aug.1/Sept.1/Oct.1 for $87.50. ($400)
              ALL CHEQUES DUE BY JUNE 1/2018 and PAYABLE TO ILONA SPLEIT
2nd/3rd Family Member:                                   Please choose one option:
□ Option 1: One cheque, dated May 5 for $330.   received by May 5 …..(after May 5 $350.) ($330)
□ Option 2: Deposit of $50. dated May 5 PLUS: One cheque, dated Sept. 1 for $300.    ($350)
□ Option 3: Deposit of $50. dated May 5 PLUS: Two cheques, dated Aug. 1st & Sept. 1 for $150. ($350)
□ Option 4: Deposit of $50. dated May 5 PLUS: Four cheques, dated Aug 1, Sept.1,Oct 1, Nov.1 for $77.50    ($360)
         ALL CHEQUES DUE BY JUNE 1/2018 and PAYABLE TO ILONA SPLEIT
*    Deposit will reserve your place in your class/ensemble and enable continuing students to keep their instrument over the summer months. Deposit is non-refundable. Refunds on the remainder of lesson fees will be pro-rated up until Nov.30th only. No refunds will be given for students who discontinue with the program after Dec.1st, 2018.
** Fee includes: weekly class lesson and weekly orchestra lesson; Sept-June, free instrument loan; and participation in a minimum of 3 major concert opportunities throughout the year!
***Cheques payable to: “Ilona Spleit ”- Cheques returned NSF will be subject to a $25 charge.

The Spleit Strings Studio provides a free instrument loan to all students participating in the group programs. The student and/or guardian accepts responsibility for the loan of the instrument and recognizes that any damage incurred will be their financial responsibility. Damages include but are not limited to broken strings, cracks and scratches on the instrument, damage to the case, lost instrument covers, warping of the bow or significant hair loss on the bow. Any necessary repairs should be completed as soon as possible. The loan of the instrument is granted to the student only while they are involved in the program. Upon discontinuation of lessons, the instrument must be returned immediately, in the same condition as it was received.

Parent/Guardian/Student (if over 18)’s Name: (please PRINT)

Parent/Guardian/Student (if over 18) signature:

Registration forms can be delivered to lessons at the Spleit Strings Studio OR you can mail your registration form to:
Ilona Spleit / Spleit Strings Studio 222 Grosvenor Ave S. Hamilton Ont. L8M 3L9 WWW.SPLEITSTRINGS.COM    905 512 9945   ispleit@hotmail.com