UGA STRING PROJECT                   NEW STUDENT ENROLLMENT FORM
Hugh Hodgson School of Music
The University of Georgia

Please print this form, fill out, and mail with your check.

1.  Child's Name ______________________________

2.  Age ____ Birthday ___________ Grade ____ School ___________________

3.  Parent or Guardian's Name __________________________________

Occupation ________________________________________

4.  Home Street Address ______________________________________________

City _____________________________ Zip Code ________________

Email Address __________________________________________

5.  Home Phone ___________________ Work Phone _____________________

Cellular Phone __________________

6.  Has your child played an instrument before?     Yes     No

What kind? _____________________ How Long?__________________

7.  Which instrument does your child wish to study?

Violin ____ Viola ____ Cello ____ Bass ____ Currently undecided _____

8. Parent's Signature _____________________________ Date _______________

Please include the $75.00 registration fee (non-refundable) for fall semester. Payment of the
registration fee guarantees your child's place in a class. Checks must be payable
to Hugh Hodgson School of Music.

Mail to: Michael Heald, director, UGA String Project
             Hodgson School of Music, 250 River Rd., Athens, GA 30602

Classes will start on Wednesday, September 3, meeting on Mondays and Wednesdays from
4:00 p.m. to 4:50 p.m. in the Orchestra room at the rear of the UGA Performing Arts Center.
The fall session will go to December 3rd.