Music Registration Form

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Music Registration Form

Student Name *

First

Last

Contact Email *

Primary Contact Phone *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Student Race/Ethnicity

Student Sex/Gender

Date of Birth *

Student School (If Applicable)

Parent(s)/Guardian Name (If Applicable)

Emergency Contact (Not Student) *

First

Last

Emergency Contact Phone *

Date of First Lesson

Only enter if already scheduled.

Instructor Name

Lesson Day

If not scheduled, list preferred days.

Lesson Time

If not scheduled, list preferred times.

Tuition is due the first of each month during the fall and spring semesters as tuition is charged monthly. Tuition is due by the 24th of the month during the summer semester as tuition is charged per-lesson. A late fee of $15.00 will be added after the 1st of the month. Student recitals will count as one lesson for students with participating instructors.

Students must give a written, two-week notice before dropping a class. If notification is not received the student will be charged for the two weeks after the drop is determined. Drop forms are available outside the office or online.

There is a semesterly registration fee of $25 for Fall and $25 for Spring. Registration fees are non-refundable and non-transferable. Registration fees and forms are required in order to secure slot and begin classes.

In support of "going green" efforts, E-mail addresses are used for communicating with students/families.

I/We agree to:

a. come prepared for the lesson each week;

b. treat instructors and staff with respect;

c. abide by the Policy and Procedures as listed on the GSOA website;

d. keep the door code confidential by not sharing or admitting others;

e. give permission to GSOA to photography or videotape myself or my children in relation to their participation at GSOA*;

f. give 24-hour notice for any lesson cancellations with the exception of emergencies**;

g. and give a written, two-week notice before dropping a class.***

*Photographs or videotape may be used for archival or promotional purposes. Last names of children will be withheld from publications, if requested in the comment section. GSOA will not “tag” children on Facebook or other social media. **A make-up lesson will be offered at the discretion of the instructor. If an instructor misses a lesson, a makeup lesson will be offered. During the summer semester, students must let their instructor know at least 24 hours before their lesson if the student will be absent. If notice is not given, students will be billed for that lesson (with the exception of emergencies). ***If notice is not received, the student is responsible for payment for the two weeks after drop has been determined.

Agreement to Terms *

Enrolled students must agree to the terms to take lessons.

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