Online Registration | Gasse School of Music

Student Information

Name of Student*

Cell phone (if they have one)

Email address

School

Grade

Date of Birth

Parent Information

Parent(s) Name(s)*

Address

Street Address City State ZIP Code

Home Phone

Cell phone (mother)

Cell phone (father)

Email (mother)

Email (father)

Preferred method of contact:

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Home phone
Cell phone
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Class Information

What would you like to register for?

Instructors

Cello Instructors

30-minute Cello Lesson

Price: $43.00 Quantity:

45-minute Cello Lesson

Price: $64.50 Quantity:

1 Hour Cello Lesson

Price: $86.00 Quantity:

45-minute Group Cello Lesson

Price: $20.50 Quantity:

1 Hour Chamber Music Class

Price: $27.50 Quantity:

Violin/Viola Instructors

30-minute Violin/Viola Lesson

Price: $42.00 Quantity:

45-minute Violin/Viola Lesson

Price: $63.00 Quantity:

1 Hour Violin/Viola Lesson

Price: $84.00 Quantity:

45-minute Group Violin/Viola Lesson

Price: $20.50 Quantity:

1 Hour Chamber Music Class

Price: $27.50 Quantity:

Guitar Instructors

30-minute Guitar Lesson

Price: $38.00 Quantity:

45-minute Guitar Lesson

Price: $57.00 Quantity:

1 Hour Guitar Lesson

Price: $76.00 Quantity:

45-minute Group Guitar Lesson

Price: $20.50 Quantity:

1 Hour Guitar Chamber Music Class

Price: $27.50 Quantity:

Piano Instructors

30-minute Piano Lesson

Price: $38.00 Quantity:

45-minute Piano Lesson

Price: $57.00 Quantity:

1 Hour Piano Lesson

Price: $76.00 Quantity:

45-minute Group Piano Lesson

Price: $20.50 Quantity:

1 Hour Piano Chamber Music Class

Price: $27.50 Quantity:

Total

$0.00

Payment Method*

By Credit Card
By Check

Please make your check payable to "Gasse School of Music" and send it to: 7641 Polk Street, Forest Park, IL 60130.

I have read and accept the terms of the GSM School Policy*

The school policy can be viewed by clicking here.

Yes

Billing Information

Billing Name*

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Billing Email*

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