Student Registration Form for Online Membership

Parent Information

Primary Parent's Full Name (account holder) *

Primary Parent's Email *

Primary Parent's Phone *

Emergency Contact

Please enter the name of a second adult in the home whom we can contact if there is an emergency or issue and you can't be reached: *

2nd Adult's Phone Number *

Your Address

Home Adress *

City *

State *

Postal code *

Almost there!

May we use videos or photos of your child/children in our promotional materials online or in print? *

Yes

How did you hear about us? *

Promo Code?

If you don't have your instrument yet and need some help preparing for your first lesson, please let us know below and we will contact you:

Please share your goals for the student, any experience they have had in their instrument, and other notes that would assist us in helping you find the best teacher: *

POLICIES:

Each month you will receive 2, 30 minute lesson credits for 1-1 lessons, and you can schedule that in the calendar system or email us to set up a regular schedule.

You will also be able to sign up for any amount of group classes.

Once you complete this form and the deposit payment form, you will receive confirmation of receipt. Your card will be charged on the final day of each month before the month being billed (i.e. Jan 31 for the month of February).

We will reach out within 24 hours with your log in information. If you sign up between the 15th and the 31 of the month, you will be refunded 50% of the first month's fees, and you will receive 1, 30 minute 1-1 lesson for that first month, and attendance to any group lessons remaining in the month.

You can request to stop lessons at any time at this email address: [email protected]

If you request to stop lessons, the date we receive the email is the valid date of request to stop, and if this date is after the 2nd of the month, you will not be refunded for that current month.

If you register for a 1-1 class and need to cancel, you can cancel in the calendar system or email [email protected] to cancel. If you do so at least 24 hours before the class was scheduled to start, you will receive that lesson credit back for the month to reschedule. If not, you will lose that credit.

Do you agree to the above policies?

Do you agree to our policies shared above? *

Yes

Press the "submit" button and you will be required to pay the first month's deposit of $75

NOTE: If the "submit" button isn't working, a box wasn't filled in correctly. Please scroll to the top of the form to see how to solve the issue

!! If you don't receive an email confirmation after submitting this form, it did not go through!

email us at [email protected] if you have issues or call 352-519-3999