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CERTIFICATE OF MERIT REGISTRATION ‘08-‘09
Register as soon as possible. Submit to
Music Office. Deadline is Saturday October 25th.
Student’s Name
___________________________________________Age__________
Address__________________________________________________________
City_________________________ Zip___________________
Primary Phone
______________________ Parent’s Name _____________________
Email___________________________________________________________
CM Level
‘09_____________ Grade _________ Birthday ___________________
Prior CM Student?
YES NO (circle one) Last CM Level completed__________
Name of instructor
for last level achieved? (If other than RVP Instructor)
_________________________ Former Branch______________________________
(One-Time Fee)
MTAC CM Testing Fee $25
(Prep) $35 (1-2) $40 (3-5) $45 (6-7) $50 (8-9)
(Monthly Fee)
+ +
+ + +
CM Preparation
Class $40/mo
$40/mo $40/mo $40/mo
$40/mo
Total Due Today =
$65.00
$75.00 $80.00
$85.00 $90.00
*Monthly fee is $40
for CM preparation class (Nov-Mar) due the 1st of each month.
This will be added to your Auto-Pay tuition the months of Dec, Jan,
Feb, and Mar. The MTAC testing fee is a one-time only fee.
Parent
Signature___________________________________________Date_______________
CM Preparation Class
Day _____________Time ________First Class Date______________
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