Cascade Community School of Music
Mail-in Registration Form: Print this form and fill out by hand
Student Name_______________________________ DOB if child: __/__/__
Parent Name________________________________
Mailing Address______________________________
City State Zip________________________________
Phone_______________________ Email______________________
Instrument_________________________
Class_____________________________Day____________Time___________
Tuition Total________ Amount Paid_________
Please Make checks payable to CCSM; Mail to CCSM, P.O. Box 7293 Bend OR 97708
Come to class! We'll call you if otherwise.