* Required

ABRSM Spring 2017

REGISTRATION FORM

Student First Namerequired

Student Last Namerequired

UNIS ID Numberrequired

Student's Birthdayrequired

UNIS Grade Level in Spring 2017required

Instrument required

ABRSM Level required

Your private teacher must approve the ABRSM Level prior to completing this form.

Private Teacherrequired

Teacher Email (if not at UNIS)

M2 and M4 string students are required to take the ABRSM exams. For required students, the exams are partially subsidized by UNIS. All other exams are optional and subject to the full ABRSM prices.

Exam Fees *

ABRSM Level Prep-2 $60 ABRSM Level 3+4 $75 ABRSM Level 5+up-$80 Optional Student Participant: See Fee Structure: www.abrsm.org

Accompaniment Fee

$20.00 (Subsidized Rate) No Fee (outside accompanist) No accompaniment (voice and guitar)

Parent Namerequired

Parent Emailrequired

I understand that my UNIS account will be billed.*

I agree

Please send a confirmation email to the address below: