Introduction to Strings Online Application

Introduction to Strings offers high-quality pre-kindergarten beginning violin, viola, or cello instruction in a small group setting.

Next Session: 16 Week Course January to May 2020

When: Tuesdays 3:30-4:15PM or 4:30-515PM

Where: 24 Preble Street, Portland, Maine

Application Deadline: December 13, 2019

 


 
 

Please complete the form below

Name *
Name
Date of Birth *
Date of Birth
Address *
Address
Primary / Home Phone *
Primary / Home Phone
Cell / Work Phone
Cell / Work Phone
Please select the program you're applying to.
Preferred Instrument:
To ensure appropriate class sizes, students will be assigned to either the 3:30pm or 4:30pm class dependent on need. If you have a conflict with a specific time, please email Palaver Managing Director of Education, Matthew Smith at matthew.palaver@gmail.com For any other notes you might have, please use the text block below to tell us more.
Mission Statement: The Palaver Music Center strives to generate a mutual love of music, foster creativity, and hold space for shared dialogue with people from diverse cultural and socioeconomic backgrounds. Non-refundable Registration Fee: $25 per student or $40 per family Tuition: Tuition is based on a sliding scale model meaning that the program cost is dependent on gross yearly house-hold income and family-size. Please check the sliding scale to determine how much the program costs. Tuition is due before the first class on January 28, 2020. Financial Aid: Palaver is committed to ensuring that any student wishing to participate in the program can. If you feel the sliding scale fee is not affordable you may apply for financial aid. You may also email Matthew Smith at matthew.palaver@gmail.com for more information on financial aid. Parent's Statement of Commitment: I would like my child to apply to the Introduction to Strings class. I have read and understand the Introduction to Strings description. I also understand that if accepted, a guardian, or I will bring my child regularly to classes and will keep Palaver updated with any changes in the above information.
Signed Date of Application Form *
Signed Date of Application Form
Release Agreement

2020 MEDIA RELEASE AGREEMENT BETWEEN PALAVER STRINGS AND PARTICIPATING INTRODUCTION TO STRINGS STUDENTS AND FAMILIES

Read
Photographs, recordings, video and film images: Introduction to Strings student performances and/or classes may be photographed, filmed, videotaped, and/or recorded. Palaver Strings has the students and families’ permission to use all images and sound recordings for publicity and to describe and illustrate the program to the public, print & online media, and funding organizations.
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please tell us why in a few short words.
Signed Date of Release Form *
Signed Date of Release Form
 
 

 
 

*Please submit this form along and $25 registration fee (check/money order payable to Palaver Strings) before December 13, 2019. Acceptance notifications will be emailed by December 20, 2019. If applicable, you may also drop this application and registration fee off at Youth and Family Outreach, Parkside, Eastend or Bayside Head Start or the Jewish Community Alliance.

OR MAIL TO

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Palaver Strings

45 Exchange St.

Suite 300

E Portland, Maine

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