Little Bears Application - New Students - Blue Bear School of Music

Jean Mazzei

Andrea Fultz



		Free Report

Acoustic Guitar Electric Guitar Voice Piano/Keys Bass Drums Sax/Clarinet Mandolin/Fiddle

Little Bears Online Application

Please fill out and submit the following information. * Indicates required fields.

Contact Information

Child's First Name*:

Last Name*:

Address*:

City*:

State*:

Zip*:

Parent's Email Address*:

Home Telephone:

( ) -

Mobile Telephone:

( ) -

Work Telephone:

( ) - xt:

Best time to call:

Best Number to call:

Home | Work | Mobile

Workplace:

Job Title:

Student's Date of Birth:

/ /

Parent's Name/ Bill to:

Adult attending class with child if other than parent:

About You

Check all the places you've heard about Blue Bear*:

Doorhanger	In-store Catalog	Yellow Pages
Google	Craigslist	Direct Mail
Bay Guardian	Marina Times/Northside	Yahoo
SF Chronicle	Other

Check one (optional):

Check one (optional):

Male | Female

*SELECT THE CLASS(ES) YOU WOULD LIKE TO JOIN FROM THE SCHEDULE BELOW

SUMMER 2008 LITTLE BEARS CLASSES AT BLUE BEAR

Little Bears Summer Session 1 - June 23 to July 26
Time	Mon	Tue	Wed	Thu	Sat
10am - 10:45am			Bouncy Bears w/Emily @ Ft. Mason *FULL*
11am - 11:45am		Mixed Bears w/Keta @ The Well *FULL*	Mixed Bears w/Emily @ Ft. Mason *FULL*
1pm - 1:45pm			Baby Bears w/Emily @ Ft. Mason *FULL*
2:30pm - 3:15pm	Baby Bears w/Keta @ The Well *FULL*
3:30pm - 4:15pm	Bouncy Bears w/Keta @ The Well *FULL*
4pm - 4:45pm				Mixed Bears w/Emily @ Ft. Mason *FULL*

Little Bears Summer Session 2 - July 28 to August 30
Time	Mon	Tue	Wed	Thu	Sat
10am - 10:45am		Bouncy Bears w/Barb @ The Well	Bouncy Bears w/Emily @ Ft. Mason *FULL* Mixed Bears w/Barb @ Sherith Israel		Mixed Bears w/Brian @ Ft. Mason
11am - 11:45am		Mixed Bears w/Barb @ The Well	Mixed Bears w/Emily @ Ft. Mason
1pm - 1:45pm			Baby Bears w/Emily @ Ft. Mason
2:30pm - 3:15pm	Baby Bears w/Barb @ The Well
3:30pm - 4:15pm	Bouncy Bears w/Barb @ The Well *FULL*
4pm - 4:45pm				Mixed Bears w/Barb @ Ft. Mason

Once your online registration is received, we will call you to confirm your enrollment. If you have signed up for a class that is already full, we will put you on a waiting list and discuss alternate sections. A full refund will be given if we are unable to place you in a class. To check for space availability call Blue Bear at 415.673.3600.

Previous experiences with music, if any:

Any comments or special needs?

By submitting this application I certify that I have read and agree to abide by Blue Bear's policies. Two make-ups per 10-week session are allowed but must be used in the current session only. Please call Blue Bear 24 hours in advance of your scheduled class to arrange a make-up session. Admission to make-up classes is subject to space availability and is not guaranteed. Missed classes that cannot be made up by the end of the quarter are not refunded, and there is no pro-rating of group classes for absences that are known in advance. During Little Bears registration period, you must pay the tuition in full to reserve your spot in a class. The first class serves as your trial class. If you do not wish to continue, we will give you a full refund if you let us know at least two days before the second class meeting. No refunds or transfers of credit are possible otherwise.

Yes, I agree to these terms.*