All beginning and returning students must complete and return the by kd1QMii


									All beginning and returning students must complete      AVAILABLE INSTRUMENTS Sept 2012:                                                 PAYMENT OPTIONS:
and return the attached registration form. Students
who are beyond their first year of instruction are      Students get to make a 1st and 2nd choice of what

                                                                                                                      accompany Registration form
                                                                                                                      Both Cheques must

                                                                                                                                                                        a draw for free registration
                                                                                                                                                                        June 30 will be entered in

                                                                                                                                                                                                           Full Payment
                                                                                                                                                                        Registrations received by

                                                                                                                                                                                                                                                       “Niagara Instrumental
encouraged to provide their own instrument, if          instrument they would like to take from the following list:

                                                                                                                                                                                                                                                                                       Cheques Payable to:
                                                                                                                                                    In 2 installments
possible, in order to allow DSBN instruments to be
available for beginning students’ use.                  STRING PROGRAM: Violin, Viola, Cello & Double

                                                        Bass. Available to students entering grades 4 – 8, only

                                                        available in schools from: St.Catharines, Thorold
Each student will receive two weekly lessons: one
                                                        Jordan, Vineland, Beamsville, Grimsby, Smithville,
group lesson during school hours and one After-         Niagara Falls and N.O.T.L.
school Band/Orchestra rehearsal.
In-school lessons are usually held in the student’s     BRASS & WOODWIND PROGRAM:                          Flute,

home school, but when numbers do not warrant,           Oboe, Clarinet, Bassoon, Alto & Tenor Saxophone,

students will be offered an alternate option.           Trumpet, French Horn, Trombone, Baritone, Euphonium
After-school Band/ Orchestra rehearsals are held        and Tuba. Available to students entering grades 4 – 8.

                                                                                                                           2 Payment $145 Oct. 19 , 2012
                                                                                                                           1 Payment $145 current date
                                                                                                                           OPTION 2 - $290

                                                                                                                                                                                     Overall Cost: Less than $5 per lesson
                                                                                                                                                                                     ONE cheque, payable current date
                                                                                                                                                                                     OPTION 1 - $275

                                                                                                                                                                                                                               After-school Band/Orchestra rehearsals.
                                                                                                                                                                                                                               Includes approx. 30 In-school classes and 30
at a centrally located school and draw students from

a number of different home schools. This is an          PERCUSSION PROGRAM: Includes the study of
experience that is like no other music program.         various Drums, Cymbals, Mallet Keyboard instruments,

                                                                                                                                                                                                                                                                              USE YOUR “OWN”
                                                        and Auxiliary Percussion. All students must pay full

Our Music Program runs from the 3rd week of             registration fee for use of DSBN percussion equipment.
September until the last week of May.                   (Options 3 or 4) Available to students entering grades 6
                                                        – 8. Beginner enrolment is limited!
THE AFTER-SCHOOL REHEARSAL IS AN                                      REGISTRATION & FEES:
REGULAR ATTENDANCE IS AS IMPORTANT                      All registrations received before June 30th will be entered

AS ATTENDANCE AT THE IN-SCHOOL                          in a draw for a free registration.
                                                        Registrations will be accepted at any date but instruments
                                                        get assigned primarily on a first come basis and classes
Parents are responsible for all transportation to and   are set up during the summer. To guarantee a class at your
from after-school rehearsals, and usually find it       home school and the instrument of your choice, please,

                                                                                                                           2 Payment $195 Oct. 19 , 2012
                                                                                                                           1 Payment $195 current date
                                                                                                                           OPTION 4 - $290+ $100 rental

                                                                                                                                                                                     Overall Cost: Less than $5 per lesson
                                                                                                                                                                                     ONE cheque, payable current date
                                                                                                                                                                                     OPTION 3 - $275+ $100 rental

                                                                                                                                                                                                                             After-school Band/Orchestra rehearsals.
                                                                                                                                                                                                                             Includes approx. 30 In-school classes and 30
convenient to arrange car pools amongst themselves.     get registrations in early.

                                                                                                                                                                                                                                                                              DSBN INSTRUMENT
                                                                                                                                                                                                                                                                               REQUEST USE OF
                                                        All registered returning students that require a DSBN
The NEIM Code of Conduct and Policies an                instrument can pick it up for the summer free of charge.
essential part of this Registration, is available on    Cheques: payable to Niagara Instrumental Music
our webpage               Print student name(s) on cheque(s). Siblings may be
                                                        included on one cheque.

                                                        If you require fees to be broken into more payments
                        <   $5 per lesson

                                                        please contact the NEIM office and we will come up with
                                                        a payment plan to suit your needs.
                            Two Lessons
                             Per week
  NEIM            REGISTRATION FORM 2012-2013

                                                                                                                       INSTRUMENTAL MUSIC
   Registrations received after June 30th, 2012 will be happily
   accepted, however, instrument availability may be affected.

Student Surname:____________________________
Student First Name:__________________________
Student Mailing Address:
                                                                                                                         FOR DSBN STUDENTS

   House # & Street:___________________________________
   City & Postal Code:_________________________________
Parent/Guardian Name(s):______________________
Parent/Guardian email: (please print clearly)
Phone - Home: _____________________________
         Business: ___________________________
         Cell: _______________________________
In Sept. 2012-School: _______________ Grade: ___
In Sept. 2012 Student’s Age: _____ years old

Instrument requested: 1st choice ________________
                      2nd choice ________________
 Student owns Instrument  Use of DSBN Instrument;                                                                                2012 / 2013
Payment Options 1 or 2;             Payment Options 3 or 4
                                                                                                                          Niagara Elementary Instrumental Music
In Sept. 2012, student will be entering his/her:                                                                                             (NEIM)
1st yr 2nd yr        3rd yr     4th yr    5th yr                                                                     c/o District School Board of Niagara
   of instruction with NEIM on THIS instrument.                                                                          191 Carlton Street, St. Catharines, ON,
                                                                                                                                         L2R 7P4
Please indicate payment option number (see over),
and enclose full fee(s) with this registration form.                                                                            905 – 641-2929 ext. 52296
                                                                                                                                905 – 227-5551 ext. 52296
             Payment OPTION Number:                                                                             
I have read this NEIM information sheet, the Code of
Conduct and the financial policies (as stated on the NEIM                                                    
webpage). I understand and accept the terms and agree to
abide by the expectations as outlined.
Parent/Guardian     Name: (print)                                                                                                          Strings
___________________________________________________                                                                                       Woodwinds
Date: _____________________________________                                                                                                 Brass
Parent/Guardian   Signature:__________________________
                                           Required                                                                     Instrumental Music instruction in the Elementary
                                                                                                                     schools of the DSBN has made it possible for thousands
Completed Registration forms may be: submitted to School Secretaries        Please photocopy this document to keep   of children to acquire an enriched musical education in
in a clearly labeled envelope marked NEIM; mailed via Canada Post; or              for your personal records.             an affordable, interesting and enjoyable way.
taken to the DSBN Ed Centre, 191 Carlton St., St. Catharines.

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