Registration for Straight Shot

Student's Name: As you would like it to appear on awards and programs.*
Student's Nickname: How the student prefers to be addressed.
Parent Name:*
Additional Parent Name:
Home Address:*
Primary E-mail: This email will receive all communication from Arrow AND receive INVOICE emails.*
Secondary E-mail: This email will receive all communication from Arrow, EXCEPT invoice emails.
Primary Cell Phone: If possible, please list a number that will accept text messages.*
Secondary Phone:
Student's Date of Birth:*
Student's Grade in School (Fall 2019):*
Student's School (Fall 2019):*
For what instrument are you seeking lessons?*
Please indicate any previous music lessons for this instrument*
If your child is taking piano lessons and is in first grade, please plan to attend each lesson with your child. This helps them during class and also for practicing at home.
In a few words, please tell us why you want your child to take music lessons:*
Does your child have any special needs we should consider?*
How did you learn about Arrow Academy? (If you learned of us through a friend, please be sure to include their name so we can thank them!)*
Straight Shot fees are due upon registration. $640 ($595 tuition and $45 for materials). Fees are non-refundable.*
Please list specific times (between 8:00 am - 8:00 pm) your student is NOT available on a regular basis, Mondays & Thursdays, June-August. *

Our Studio Policy document can be found on our website and includes our guidelines regarding make-up lessons and tuition payments. *

I hereby authorize Arrow Academy of Music, hereafter referred to as “Company,” to publish photographs and/or videos of myself and/or the minor child or children listed in this registration for use in Arrow Academy of Music's print, online and video-based marketing materials, as well as other Company publications. I hereby release and hold harmless Arrow Academy of Music from any reasonable expectation of privacy or confidentiality for myself and for the minor child and children listed below associated with the images specified above. Further, I attest that I am the parent or legal guardian of the child or children listed below and that I have full authority to consent and authorize Arrow Academy of Music to use these images in any lawful way. I further acknowledge that participation is voluntary and that neither I, the minor child, nor the minor children will receive financial compensation of any type associated with the taking or publication of these photographs or participation in company marketing materials or other Company publications. I acknowledge and agree that publication of said photos confers no rights of ownership or royalties whatsoever. I hereby release Arrow Academy of Music, its contractors, its employees and any third parties involved in the creation or publication of Company publications, from liability for any claims by me or any third party in connection with my participation or the participation of the minor children listed below.*
Since you do not wish to have your child appear in photographs and videos published by the studio, please understand that it is your responsibility to prevent your child from joining group photographs/videos.

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