
ABSS School of Fine Arts
Dr. Jon Hynes, Director
62 Pleasant Valley Drive
Little Rock, AR 72212
2011-2012 PRIVATE AND SEMI-PRIVATE REGISTRATION
Student's Name:
Student’s School: Grade in September 2011:
Parent’s/Guardian’s Name:
Home Phone: Cell Phone: Work Phone:
Street Address:
City: State: Zip code:
E-Mail:
Day and Time Preferred: (1) (2) (3)
Classes meeting during the lunch/recess block are only available to ABSS Elementary Students and home schoolers.
Check as many courses as you like.
Private lessons are $120 per month; semi-private lessons are $60 per month per child.
***There is no registration fee.***
Please note that space is guaranteed only with the first month's payment, and it is non-refundable.
For your convenience we accept Visa, MasterCard, Discover, and American Express.
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Enter 16 digit account number including spaces*.
Expiration Month*: Year*:


Name exactly as it appears on card*:
Click the Submit Button Below to Submit Application
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LESSONS BEGIN MONDAY, AUGUST 29, 2011
EACH COURSE HAS 30 LESSONS AND FOLLOWS THE SAME HOLIDAY SCHEDULE AS GROUP INSTRUCTION
BOOKS AND MATERIALS ARE NOT INCLUDED