The Gorin
2290 W El Camino Real,
GSM Registration Form (for
children)
Application procedure:
1. Fill
out and mail / submit online the GSM Registration Form at mmgorin@aol.com
2. Submit tuition payment by check (make check
payable to The Gorin
Please send the application materials to:
Student’s Name: _______________________________________________________
Birthday:
_____________________________________________________________
Years of study ((if not a beginner): _ ____________________________________
Home addresss:
________________________________________________________
__________________________________________________________
Home phone :
______________________ Cell
phone: _________________
Email:
________________________________________________________________
Father’s Name / Occupation: ____________________________________________
Father’s Work Address: ________________________________________________
Father’s Work Number: ________________ Father’s Cell:
_______________
Email address:
_________________________________________________________
Mother’s Name / Occupation: ___________________________________________
Mother’s Work Address: _______________________________________________
Mother’s Work Number: _____________ Mother’s Cell: _______________
Email address:
_________________________________________________________
Registration is
complete upon
1. Receiving the GSM Registration Form
2. Telephone call from
Rufina Gorin to discuss schedule and oral presentation of the bill
3. Receiving the Tuition payment
4. Telephone call from Rufina Gorin announcing
the first day of lessons.
________________________________________________________________________
For office use only
Date of starting at GSM:
____________________________________
Instrument:
____________________________________
Teacher:
____________________________________
Days of the lessons:
____________________________________
Time of the lessons: ___________________________________
Musicianship class: ___________________________________
Teacher’s confirmation: ______________________________
The Gorin
2290 W El Camino Real,
GSM Registration Form (for adults)
Application procedure:
1. Fill
out and mail / submit online the GSM Registration Form at mmgorin@aol.com
2. Submit tuition payment by check (make check
payable to The Gorin
Please send the application materials to:
Student’ Name:
________________________________________________________
Birthday:
_____________________________________________________________
Years of study (if not a beginner ): ______________________________________
Work Address:
________________________________________________________
Occupation:
___________________________________________________________
Work phone number: ___________________________________________________
E-mail Address: ________________________________________________________
Home Address:
_________________________________________________________
_________________________________________________________
Home Number:
______________________ Cell
Number: ________________
E-mail Address: ________________________________________________________
Registration is
complete upon
1. Receiving the GSM Registration Form
2. Telephone call from
Rufina Gorin to discuss schedule and oral presentation of the bill
3. Receiving the Tuition payment
4. Telephone call from Rufina Gorin announcing
the first day of lessons.
________________________________________________________________________
For
office use only
Date of starting at GSM: ___________________________________
Instrument:
___________________________________
Teacher:
___________________________________
Days of the lessons: __________________________________
Time of the lessons: ___________________________________
Musicianship class: ____________________________________
Teacher’s confirmation: ________________________________