Fall Music Online Registration Form 2023-24 Classes begin Monday September 18, 2023

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Fall Music Online Registration Form 2023-24 Classes begin Monday September 18, 2023

Thanks for your interest in music study this Fall. Please use this form to formally register for the following programs. In addition to the registration form, an invoice will be sent with the total cost. A $300 deposit is due and registration fee ($60) in order to confirm your private lesson time and day. Any questions? Call us at 631-271-4626

Payment details:
- Tuition is non-refundable. Once registered this is an agreement that the full amount of the tuition for the year must be paid whether the lessons are completed by a student or not.
- For monthly payments, a credit card must be current and on file.
- Payments made with credit card with carry a 3% annual fee which will be added to total
- There is no cost to use Venmo/Paypal/Check
- 10% discount for more than one 32 week program registration
- 10% discount for 2 or more siblings registered for a 32 week program
- 5% Paid in full at registration
- no discount can exceed 15%

$300 deposit + $60 per registration

Email *

Parent/Guardian Name *

Student Name *

Date of Birth *

YYYY

Academic grade as of 09/2023 *

School Name *

Address *

City *

Zip Code *

Home Phone Number

Mobile Phone Number *

Student Email (If Applicable)

Private lesson length

Payment Plans/Discounts

3 Payment Plan (payment 1 registration, payment 2 October, payment 3 January, 2023)

Monthly payments with check, credit card (no Amex), Venmo or PayPal - Venmo Joan-Albright-2

Full Payment at Registration - 5% discount

Clear selection

Instrument *

What are your 2 choices for day and time for private lessons? *

Please choose your payment option *

Venmo/Paypal

Check

Credit Card

Any additional notes or questions?

A copy of your responses will be emailed to the address you provided.

Submit

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