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Please complete the form below and click on "Submit" to register. All "*" fields must be filled in. 

 

Tuition for the Fiddlers Philharmonic is $100 per school year. Enter $10 in the recurring amount field below in order to pay the tuition in ten monthly payments.

 

 

Recurring Amount*
Frequency*

STUDENT INFORMATION
Student Name*
Birthdate (MM/DD/YYYY)*
Student Gender*
2016-2017 Grade Level*
Graduation Year*
First Year in Fiddlers Philharmonic?*
School Name*
School County*
Student Phone
Student Email
PARENT INFORMATION
Salutation
Parent/Guardian First Name*
Parent/Guardian Last Name*
Address*
City*
State*
Zip*
Parent/Guardian Phone*
Parent/Guardian Email*
Confirm Email*
Emergency Contact*
Emergency Contact Phone*
PAYMENT INFORMATION
Credit Card Type*
Number on Card*
Expiration Month*
Expiration Year*
Card Security Code*
Name as it Appears on Card*

By submitting this form, I give consent for my credit card to be charged ten (10) monthly installments of $10 each.

Questions?

Janine Zerger, Operations Manager 

Janine@PaducahSymphony.org

270-444-0065