Program Registration (3)

Student Registration Information:

Calendar:
NHISOM has two semesters: Fall/Winter & Winter/Spring. We take the month
of January off. Summer camps are run during July and August.

Students Age

Students Name
Parents Name (if student is a minor)

Address
City

State

Zip

Email

Telephone
Instrument

Years Played

Please check playing level/

experience:

r Beginner
r Intermediate

Program Registration (1)

r Advanced
r Professional

Tuition:
Tuition charges are listed in the center fold of this Registration Form. The
charges are for the entire semester program. Participants are required to pay in
full, in advance, for each program in which they enroll.
Refunds
NHISOM will refund tuition payment if: (1) after attending the rst and second
meetings of the group the participant promptly noties NHISOM in writing of
his/her wish to withdraw from further participation; (2) too many players of
the same instrument apply for the same program (in this case, registrants will
be accepted on a rst-come rst-served basis - not on the basis of skill or experience). No other refunds are given.

Volunteer/Board of Directors:

Mail Registration & Payment to:

1. * Mail Checks, with Registration

to:
NHISOM
30 Elliot Road
Center Harbor, NH 03226

2. Make Checks Payable to:

New Hampshire Independent

School of Music (or
NHISOM)

David and Noelle need a break! Our goal for 2008 is to get the Financial Aid
campaign under way. If you are interested in building a great community music
school with us and would like to be considered for the Board of Directors or serve as
a Volunteer, then ll out the information below and return it to us. And thank you
for your support!

1. Your Name
2. Your Phone number
3. Please information about yourself, your musical interest, or talents:

4. Interested in (circle one):

Questions? 603-968-7664/info@nhisom.org/www.nhisom.org

Board of Directors

Volunteer

Fall/Winter Program Registration (2)

Title

Day

Time

Start Date

Location

Instructor

Tuition

Payment

Enclosed

Fall/Winter 2008 PROGRAMS

Playing in an Acoustic Band

6:30-8pm

9/22

NHISOM Studio

Ellen Carlson

$100

Adult Folk/Blues Ensemble

6:30-8pm

9/22

String Thing Studio

David Young

$100

Adult Jazz Ensemble

6:30-8pm

9/23

String Thing Studio

David Young

$100

Adult String Ensemble

6:30-8pm

9/24

String Thing Studio

David Young

$100

Adult Chamber Ensemble

Su

1-2pm

9/21

NHISOM Studio

Noelle Beaudin

$80

Youth Chamber Ensemble

Su

4:00-5:30pm

9/21

NHISOM Studio

Noelle Beaudin

$100

Youth Jazz Ensemble

Th

7:30-8:30pm

10/ 2

NHISOM Studio

Tom Robinson

$80

1. Total Program Fees:

2. Donation (optional):
3. Total Enclosed:

Support the your Community Music School!

Would you like to support the work of our not-for-profit Music School?
Then make a donation of $25 or more and youll be helping support
the programs you see here and many more to come! Thank you for
your support.

Please turn this page over for mailing & student registration details.

Questions? 603-968-7664/ info@nhisom.org