Kucinski Academy Registration

Date:

    New Returning

First Name:

Last Name:

Address:

City:   State/Province:   Zip/Postal Code:

Instrument:

2nd Instrument:

Student Email:

Date of Birth:   Grade:

School:

Number of Years Taking Private Lessons:

Private Lesson Instructor:

2nd Private lesson Instructor:


Registration Fee
Registration Fee $10

Private Lessons Length
24 lessons (30 minutes) Tuition: $450.00
24 lessons (45 minutes) Tuition: $675.00
24 lessons (60 minutes) Tuition: $900.00

These amounts are for the full academic year. Tuition will be
prorated for late registration.

Pair Lessons Length
24 lessons (30 minutes) Tuition: $336.00
24 lessons (45 minutes) Tuition: $576.00

Group Lessons Length (3-5 students) or
Chamber Music Coaching
24 lessons (30 minutes) Tuition: $288.00
24 lessons (45 minutes) Tuition: $480.00

Early String Program
Beginner Ensemble Tuition: $288.00

Catholic Schools Early Strings Program
24 lessons (30 minutes) Tuition: $240.00

Youth Orchestra (by Audition Only)
Symphonette Tuition: $100.00
Philharmonia Tuition: $150.00
Youth Symphony Tuition: $200.00

Payment Plans
Paying in Full for the year
Paying for Half of the Year
Pay in Monthly Installments
Applying for Scholarship

If making 8 monthly payments, please include 1/8th payment with registration unless applying for a need-based scholarship.
Send Payment to:

             Leo Kucinski Academy of Music
             Morningside College, Attn: Suzy Turnquist
             1501 Morningside Ave.
             Sioux City, IA 51106

Parent's Information

Dad's Name:

Mom's Name:

Parent's Email:

Home Phone:

Cell Phone:

Notes: