Citizen Soldier - Colorado Springs Conservatory

Citizen Soldier Connection is pairing with the Colorado Springs Conservatory to offer Music Classes for the Military!

This amazing opportunity is for a 8 week session, with offerings in piano, guitar, voice, song writing, and recording arts.

The cost is $100, payable to the Colorado Springs Conservatory. Citizen Soldier Connection is offering scholarships! Don’t miss out!!

This program is available for active duty military, veterans, and their spouses and children over 12.

Questions? Contact Heather Steinman: hsteinman[at]csconservatory.org

2020 Spring Semester

Tuesday, January 28th – March 17th | 7:00 – 8:30 PM

Location:

Colorado Springs Conservatory
415 South Sahwatch St.
Colorado Springs CO 80903

Cost:

Adult Class Information Form

Date*
Date Format: MM slash DD slash YYYY
Registering For*
*
- Current Student
- New Student
Current Student # of years
Name*
First Last
Permissions*
- Yes
- No
I give permission to CSC to share above mailing address with CSC partners (i.e. Philharmonic, Theatreworks, etc.)
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Phone*
Email*
Please check you first and second option for classes:*
- Guitar
- Voice
- Piano
- Song Writing
- Recording Arts
Phone
Emergency Contact*
First Last
In the event I cannot respond in an emergency, I give permission to be transported, hospitalized and treated.
Emergency Contact Phone*
Physician
Physician Phone
Preferred Hospital
Insurance Carrier
Please list any known allergies
Please list any medications taken on a regular basis
Signature*
Date*
Date Format: MM slash DD slash YYYY
Citizen Soldier Connection
Price: $100.00
Total
$0.00
Coupon
Credit Card*

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