Pre-Registration Form
Student's Name_________________________________
Birthdate______________________________________
Parent(s) Name(s)______________________________
Address________________________________________
City___________________________________________
State________________________ Zip______________
Home Telephone_________________________________
Work Telephone_________________________________
Cell___________________________________________
Email__________________________________________
Does your child play an instrument?____________
Years of study_________________________________
Special Interests_______________________________
Does your child have any special needs that might affect their participation at AAD?________________________
____________________________________________
Please indicate if you would like:
__________ Scholarship Form and Information
__________ Extended Day Information
Tuition $2500
Registrations are due on March 31, accompanied by a $300 deposit.
Tuition is due in full by May 15th.
A 10% discount is available for the 2nd child in a family.
Please make checks payable to:
-
Jill Gleim
187 Argilla Road
Ipswich, MA 01938
The $300 deposit should accompany all registrations. It is applied to tuition, and is not refundable after May 15th.