Fall 2019 Private Instruction Re-Registration Form

CURRENT STUDENTS: please use this form to re-register for fall private instruction
LOG IN before completing this form. | If you have not already created an MIC account, please do so now.

Early Registration Deadline: July 15
Annual $30 registration fee waived for those registering by July 15.

If you wish to apply for financial aid, but have not yet done so, complete your financial aid paperwork before using this form.

If you wish to sign up for the Installment Plan (with the associated $25 annual fee), please remember to complete your Installment Plan Agreement Form. Until a signed copy of the Installment Plan Agreement Form is returned, your request to be on the plan is not finalized.

The * = required fields

Student Information

Is the student an adult? *

Family Record ID

If you have been assigned your basic 6-digit Record ID, please include that number here.

Your Record ID can be found on any MIC billing statement under "Record ID" or on your current MIC Student ID Card. (You do not need to include number(s) after the dash).

If you can't find it, please continue.

Student First Name *

Student Last Name *

Birthdate *

Format: mm/dd/yyyy

Grade

Grade as of 9/1/2019.

Gender *

Ethnicity

Each year, foundations & corporations supporting MIC with grants ask us to provide information about the race & ethnicity of our student. This voluntary information is confidential and will only be used to form aggregate numbers for our programs.

School

School Location

Instruction Information

Instrument *

Instruction Type *

Teacher Name *

Requested Day *

Requested Time *

Format: 6:00pm

Private Instruction Lesson Length *

Requested Number of Weeks

Location *

Suzuki Repertoire Class

Musicianship

Do you wish to take Musicianship classes? *

Private instruction students are encouraged to take Musicianship classes at the heavily discounted rate of $132 annually.

Musicianship Class

Please select your Musicianship class based upon teacher placement and your schedule.

If you don’t know what class to take, it’s ok to skip this field.

If the student is between ages 3-7, a Musikgarten class may be substituted for just the cost of materials per semester.

Sibling Discount

A $30 discount per sibling, per semester, will be applied for each additional child (18 & under) taking private instruction within the same family. The first student pays in full.

Is this the registration of a second or more student?

Other Discounts

Seniors - (age 65+) receive a 15% discount on private lessons.
Adults - (age 19+), taking a private lesson before 3:30 p.m. M-F in MIC studios, receives a 20% reduction in tuition. Discount does not apply to special rate teachers.
(Do not pay in full, the adjusted balance will be reflected on your next statement)
Merit Scholarship (Do not pay in full, the adjusted balance will be reflected on your next statement)
It should be noted that there is no "stacking" of percentage discounts, the highest % applies.

Are you a senior?

Are you an adult who is taking a class before 3:30pm M-F in an MIC studio with a non-special rate teacher?

Music Institute of Chicago Employees

Are you MIC faculty or staff?

Payment Information

Learn more about the Installment Plan and download the necessary enrollment paperwork here >>
Learn more about Financial Aid and complete the application here >>

Choose Payment Option *

Your registration cannot be accepted without some payment. Please choose the plan that is right for you.

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Fall 2019 Private Instruction Re-Registration Form