Lessons
Offered
Piano
Voice
Please Note:
Not all areas
Woodwinds
have the
Brass
option of a
Master or
Strings
Junior
Guitar
Instructor
Percussion
Music Fundamentals
Composition
Acting
Dance
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___
)____________________
E-Mail: _____________________________________________________________________
NHANNGUYENNGOCVN@GMAIL.COM
Date of Birth: _______________________________________
Age: __________________
11/26/1996
18
School: _______________________________________
Grade (Fall 2015): ________
UAFS
Parent/Guardian Name Printed: ____________________________________________
Ethnic Background:
White/Caucasian
Asian
African American
@_______________________
CRN __________ __________
S
R
C
Hispanic
Other
UAFS
Attn: Debbie Mays
PO Box 3649
Fort Smith, AR 72913-3649
Web address: www.uafs.edu/academy
UAFS reserves the right to use photos of all Academy students in promoting the arts.
Tuition
________
__________Amt Pd ________
__________Amt Pd ________
No. of Weeks
30 Minutes
45 Minutes
60 Minutes
May 26 - June 29
$165
$240
$300
June 30 August 3
$165
$240
$300
May 26 August 3
10
$325
$480
$600
Junior Instructor
Dates
No. of Weeks
30 Minutes
45 Minutes
60 Minutes
May 26 - June 29
$125
$175
$225
June 30 August 3
$125
$175
$225
May 26 August 3
10
$250
$350
$450
**Junior Instructors ONLY available for Piano, Voice, Violin, Guitar, and Dance**
Tuition Due Dates: Tuition for 5-week private instruction must be paid in full prior to the first lesson,
either May 26 or June 30. 10-week lessons may be made in two payments, on May 26 and June 30.
Reminder, the $100 registration deposit is applied to the tuition.