Official Registration Form

Please complete the form below. Thank you!

Student Name # 1 *
Student Name # 1
Gender *
Birth Date *
Birth Date
Student Name # 2 (if needed)
Student Name # 2 (if needed)
Gender
Birth Date
Birth Date
Primary Contact Info
Name *
Name
Address *
Address
Mobile Phone *
Mobile Phone
Did you visit or take lessons at another music school? *
PLEASE READ CAREFULLY - Agreements and Policies
Monthly Auto-Payment Agreement *
First Choice Music Studio uses a monthly auto-payment system. You may make automatic monthly payments via credit card, debit card, or ACH. Payment is processed on the same day each month. Payment must be received before the start of the next cycle's lessons. No lessons will be scheduled or held until payment has been received.
Missed and Make-Up Lessons Agreement *
If you must miss your lesson, please notify us at least 3 days prior to your lesson. If less than 3 days notice is provided, it is considered a late cancellation. Students are limited to 1 late cancellation every 3 months. After that, late cancelled lessons cannot be made up. No refunds are given for missed lessons. Make-up lessons are not guaranteed and are given based on teacher availability.
Withdrawal and Refunds Agreement *
There is a 1 month minimum for all lessons. 30 days notice is required to discontinue any classes. To withdraw from lessons, a parent or adult student must complete and sign the studio’s withdrawal form.
Policies and Procedures *
Extreme Weather or Unexpected Interruption of Lessons: If the studio must cancel lessons due to extreme weather or events beyond our control such as power outages, the missed lessons will be made up. The studio will be open unless you are notified otherwise, even on school snow days. No refunds for lessons missed due to other reasons will be given. Substitutions: The studio reserves the right to provide a substitute teacher if the regularly scheduled teacher is ill or otherwise unable to attend a lesson. If a teacher is ill and the studio cannot arrange a substitute any missed lessons will be made up during openings in the teacher’s schedule in the coming weeks or with other teachers. Parent’s Responsibility to be Aware of Dates and Events: It is the responsibility of the parent or adult student to be aware of studio activities such as recitals and dates the studio is open and closed. The studio will send notices home with the students regarding these important dates. It is also the responsibility of the parent or adult student to inform the studio of any address or telephone number change. Injuries: Parents, legal guardians of minor students and adult students waive the right to any legal action for any injury sustained on studio property resulting from normal lesson activity or any other activity conducted by the students before, during or after lesson time. Photo Release: The studio is hereby granted permission to take photographs of the students to use in brochures, websites, posters, advertisements and other promotional materials the studio creates. Permission is also hereby granted for the studio to copyright such photographs in its name.
Electronic Signature *
Electronic Signature
Today's Date *
Today's Date