Bennett Academy of the Performing Arts
             
Bennett Academy Fall Semester Pre-Registration
 
Students Full Name
 
Primary Level
Primary Level - One Time Registration Fee:   $35.00   Select:   Item Subtotal:  
$0.00
Primary Level- Private Instrument Lesson - 30 Min:   $165.00   Select:   Item Subtotal:  
$0.00
Primary Level - Group Lessons - 60 Min:   $165.00   Select:   Item Subtotal:  
$0.00
Primary Level - Group class and one Private Lesson:   $200.00   Select:   Item Subtotal:  
$0.00
 
Deluxe Level
Deluxe Level - One Time Registration Fee:   $35.00   Select:   Item Subtotal:  
$0.00
Deluxe Level - Private Lessons - 45 Min:   $200.00   Select:   Item Subtotal:  
$0.00
Deluxe Level - Group Lesson - 90 Min:   $200.00   Select:   Item Subtotal:  
$0.00
Deluxe Level - Group Class and one Private Lesson:   $260.00   Select:   Item Subtotal:  
$0.00
 
Premier Level
Premier Membership:   $240.00   Select:   Item Subtotal:  
$0.00
Premier Membership One Time Performance Fee:   $60.00   Select:   Item Subtotal:  
$0.00
 
Total:
$0.00
Parent/Guardian Information
First Name: Last Name:
Address:
Address:
City: State/Province: ZIP/Postal Code:
Phone:
Email:
Payment Information:
Method of Payment:
  Credit/Debit Card
  eCheck
 Update Name from Above
Name on Account:
Routing Number:
Account Number:
Institution:
Name on Card:
Account Number:
Expiration Date:
Billing Street Address:
Billing ZIP/Postal Code:
 Change Payment Method
Submitting ...