Please print this page from your browser and mail it with your tuition to:
Cumberland Valley School of Music
1015 Philadelphia Ave.
Chambersburg, PA 17201
CVSM Registration Form
Check
if New CVSM Student
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Name |
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Date of Birth |
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Parent'sName |
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Home Phone |
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Office Phone |
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Address |
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City, State Zip |
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Semester |
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Teacher |
Tuition |
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Addiional 3% of tuition if opting to Fall Registration: |
use payment plan. $25 Individual |
$40 Family |
Subtotal: |
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Spring (if not previously registered in Fall): |
$25 Individual | $25 Family |
Registration Fee: |
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Summer Registration (if not previously registered): |
$10 Individual | $15 Family |
Total: |
* The Annual Registration Fee is payable once
per academic year (Fall - Summer)
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Expiration Date ________
Signature ____________________________________________
Check Enclosed
