SOUTHLANDS MUSIC PROGRAMS 2015/16 GRADES 1-7

RECORDER CLASSES by Mozart School of Music

Ten -30 MINUTE sessions $52* PRICE PER TERM o TEACHER : TBAo Wednesdays at lunch time divided in 2 groups( Max -20 students) according to

experience from GRADE 1-5o Concerts in December and June.o Instruments are provided by PAC and also can be purchased for $10. o Fall: September 30; October 7,14,21,28; November 4,18,25, December 2,9 o Winter: January 6, 13, 20, 27; February 3, 10, 17, 24 , March 2, 9. o Spring: March 30; April 6, 13, 20, 27; May 4, 11, 18, 25; June 1

*Subsidy is available for this program by confidential request to the Principal

Annual Recorder Registration 2015/16 - return by Monday September 21st, 2015

Student Name: 1 _________________________________Grade: ________ Division: _____

Student Name: 2__________________________________Grade: _______ Division: _____

Parent Name: _________________________________________________________

Email: ____________________________ (recorder messages will ONLY be sent out by email)

VOLUNTEER 90 Minute commitment once a term on a chosen date. Yes ______, I can help out during the WEDNESDAY lunch hour!

Request for Subsidy*

I am requesting a subsidy to cover the partial/full cost of participation in the Southland choir:

Student name: _______________________________ Division: _______

Total cost: ___________ Amount requested: __________

Parent signature: _________________________________________ Date: _____________

*Return to office marked: “Attention Principal; Confidential”

Please any questions, contact coordinator Erosillo@telus.net

SOUTHLANDS MUSIC PROGRAMS 2015/16 GRADES 1-7

Choose your method of payment:

o 3 postdated cheques $52 each (September 23rd/2015/ January 1st, 2016/ March 23rd, 2016)Payable to “Southlands PAC” with activity and student name

OR

o Annual Visa/ MasterCard payment ($52 X 3 = $156 + additional 1.99% processing fee):

Name on card: __________________________________________________

Email address of card holder: _______________________________________

Postal code attached to the billing address of the card: __________________

Credit card number: _______________________

Expiration date: ________________________

CVV (3-digit number on the back of the card): ________________________

THANK YOU FOR PARTICIPATING ON THE MUSIC PROGRAMMES AT SOUTHLANDS

Please any questions, contact coordinator Erosillo@telus.net