| STUDENT APPLICATION |
Parent(s): ____________________________________ Ho: ___________ Wk: __________
Street: ___________________________ City: ______________ State: ___ Zip: _________
(Mail) ___________________________ City: ______________ State: ___ Zip: _________
Student: __________________________ Age: _____ Instrument: ____________________
Student: __________________________ Age: _____ Instrument: ____________________
Student: __________________________ Age: _____ Instrument: ____________________
Student: __________________________ Age: _____ Instrument: ____________________
==========================================================================
Yearly Resources: (Ck line) Share of Cost:
___ 0 - 15,000 = $20.00 Monthly: ______
___ 15 - 20,000 = $30.00 X's # Students: ____
___ 20 - 25,000 = $40.00 =================
___ 25 - 30,000 = $55.00 Subtotal: ________
___ 30 - 35,000 = $65.00 minus 10% for 2+: _______
___ 35 - 40,000 = $75.00 =================
Subtotal: ________
Instrument Rental: ________
=================
Total Monthly Due: ________
Ten (10) percent discount applies to two or more students per household. Instrument rentals
available at $10.00 per month.
==========================================================================
Received and approved on ________________, 200___.
Signed: _______________________________
Barbara JOY Waymire
Founder-President-Instructor
Street: ___________________________ City: ______________ State: ___ Zip: _________
(Mail) ___________________________ City: ______________ State: ___ Zip: _________
Student: __________________________ Age: _____ Instrument: ____________________
Student: __________________________ Age: _____ Instrument: ____________________
Student: __________________________ Age: _____ Instrument: ____________________
Student: __________________________ Age: _____ Instrument: ____________________
==========================================================================
Yearly Resources: (Ck line) Share of Cost:
___ 0 - 15,000 = $20.00 Monthly: ______
___ 15 - 20,000 = $30.00 X's # Students: ____
___ 20 - 25,000 = $40.00 =================
___ 25 - 30,000 = $55.00 Subtotal: ________
___ 30 - 35,000 = $65.00 minus 10% for 2+: _______
___ 35 - 40,000 = $75.00 =================
Subtotal: ________
Instrument Rental: ________
=================
Total Monthly Due: ________
Ten (10) percent discount applies to two or more students per household. Instrument rentals
available at $10.00 per month.
==========================================================================
Received and approved on ________________, 200___.
Signed: _______________________________
Barbara JOY Waymire
Founder-President-Instructor
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Mail to:
Miss Joy's Music Foundation
ATTN: Miss Joy
971 Feather Dr. #13
Copperopolis, CA 95228-9598
Miss Joy's Music Foundation
ATTN: Miss Joy
971 Feather Dr. #13
Copperopolis, CA 95228-9598