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 YOUR CLASS(ES) FROM THE SCHEDULE BELOW

NOTE: To sign up for the Sunday classes at ODC, call 415.863.9830 x220

LITTLE BEARS CLASS SCHEDULE - FALL 2008 SESSION

Boogie Bears
In order to accommodate the maximum number of Boogie Bears students, we want to know what class times are best for you. Please select all of the times that would work for you and your child. We will call you to confirm a time as soon as we can. You will not be charged for the Boogie Bears class until a time is confirmed.
Boogie Bears:
Tue 1:00pm w/Kaitlin @ Ft. Mason Tue 1:30pm w/Kaitlin @ Ft. Mason Tue 2:00pm w/Kaitlin @ Ft. Mason Tue 2:30pm w/Kaitlin @ Ft. Mason Tue 3:00pm w/Kaitlin @ Ft. Mason Tue 3:30pm w/Kaitlin @ Ft. Mason Tue 4:00pm w/Kaitlin @ Ft. Mason Tue 4:30pm w/Kaitlin @ Ft. Mason	Wed 1:00pm w/Kaitlin @ Ft. Mason Wed 1:30pm w/Kaitlin @ Ft. Mason Wed 2:00pm w/Kaitlin @ Ft. Mason Wed 2:30pm w/Kaitlin @ Ft. Mason Wed 3:00pm w/Kaitlin @ Ft. Mason Wed 3:30pm w/Kaitlin @ Ft. Mason Wed 4:00pm w/Kaitlin @ Ft. Mason Wed 4:30pm w/Kaitlin @ Ft. Mason

All Other Classes
Time	Mon	Tue	Wed	Thu	Fri
9:30am - 10:15am			Bear Cubs w/Julia @ Ft. Mason
10am - 10:45am		Bouncy Bears w/Keta @ The Well Bouncy Bears w/Amy @ Ft. Mason			Bouncy Bears w/Amy @ Ft. Mason
10:30am - 11:15am		Bouncy Bears w/Barb @ Julia Morgan
11am - 11:45am		Baby Bears w/Amy @ Ft. Mason Mixed Bears w/Keta @ The Well	Mixed Bears w/Keta @ Ft. Mason		Baby Bears w/Amy @ Ft. Mason
11:30am - 12:15pm		Baby Bears w/Barb @ Julia Morgan
1pm - 1:45pm			Baby Bears w/Keta @ Ft. Mason
2:30pm - 3:15pm	Baby Bears w/Barb @ The Well		Baby Bears w/Barb @ Sherith Israel
3:00pm - 3:45pm				Bouncy Bears w/Barb @ Ft. Mason *FULL*
3:30pm - 4:15pm	Bouncy Bears w/Barb @ The Well *FULL*		Mixed Bears w/Barb @ Sherith Israel
4pm - 4:45pm				Mixed Bears w/Barb @ Ft. Mason *FULL*

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.*