Registration For Returning Fall Piano Lessons

Group Lessons
Student's Name: As you would like it to appear on awards and programs.*
Student 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.*
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Secondary Phone:
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Student's Date of Birth*
Student's grade in school (Fall 2019):*
Student's School (Fall 2019):*
Select lesson option:*
The fall session begins mid August and concludes at the end of May. NOTE: Completion requires attendance for the entire course.*
Please Note: Class schedules are CREATED based on your answers below. Please include ALL available times. Lesson Availability - Select each day that may apply*
Earliest time available for lessons:*
 : 
Latest time you would be able to stay for lessons:*
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Please plan to attend each lesson with your child if he/she is in first grade.*
Is there any other information that would assist in the scheduling process? (e.g. Activities, clubs, sports, etc.)
Materials fee is $130. Materials fee is due upon registration and is non-refundable. *
What method of tuition invoicing would you prefer? Please note, if you select one of the monthly options, you grant permission to use the financial information on file at the studio. If you need to make a change, please inform us in writing.*

Our Studio Policy document 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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