Sadhana School of Indian Music   15251 Timber Ridge Ct.  Orland Park IL  60467
  Phone: 708.349.6396     Email:
sadhana@nirmitarts.com
SCHOOL REGISTRATION FORM
2009-2010 School Year
Please print form and fill out completely. Follow directions below.
* Indicates mandatory information
*Student's Name:__________________________________________________________________

*Date of Birth: __________________________  Grade in School: __________________________
                                                                                                       (Applies to minors only)
*Parents' Names: _________________________________________________________________
(Applies to minors only)

*Address: _______________________________________________________________________

*Phone Numbers:  Home_________________  Work_________________ Cell_________________

*E-mail Address: _____________________________

Semester ___ Fall: Sep - Nov. $210. Due 2nd week Sept.
                 ___ Winter: Jan - Mar.$210.
Due 2nd week Jan.
                 ___ Spring: Apr -May. $240
(Includes $100 Maestros mandatory workshop.). Due 2nd week April.
                               (Group make-up sessions during summer.)

Check one location: ___ Lemont   ___Orland Park (Main)   ___ Naperville   ___ Burr Ridge

Program/Class, Teacher & Location
  ___ Vocals - Nirmita Dholakia, all locations           ___ Instrumental - Clar Monaco ___ Oak Park
  ___ Tablas - Dharminder Singh ___ Burr Ridge   ___ IACC (Indiana)


Annual registration fee for ALL students:   $30

Please submit signed form & payment to:  SADHANA School of Indian Music (Address above.)
All payments to Sadhana are 30% tax-deductible.

_______________________________________________________________________________
  Parent/Adult Student Signature                                                   Today's Date

All registered students will be entitled to select music activities (special student rates for workshops, discount music concert tickets, etc.) as deemed appropriate by Sadhana school's administration. Saraswati Puja with students' recitals are bi-annual, January and June.

Sadhana reserves the right to cancel any enrollment, at any time, if necessary, to carry forward the school's activites in a fashioned which is governed by the school's policies and standards of conduct in order to facilitate the progress of the students and the school.








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.....................................................................FOR OFFICE USE ONLY.....................................................................

AMOUNT PAID: ____________             Method of Payment:      Cash        Check No. _______

Received by: ____________________________________________________________
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MANDATORY: JUNE WORKSHOPS with MAESTROS
Group Workshop:  3 days/per week
Examinations to follow Exam fees ($70) due May 15
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