Student Registration

  • Student Registration

    Please fill out the student profile below. DPV will use this information to create your Student Portal account on MyMusicStaff.com, where parents and students will have access to the practice calendar, instructor notes and announcements, and manage tuition payments.
  • PARENT/GUARDIAN INFORMATION IS REQUIRED FOR STUDENTS UNDER THE AGE OF 18. Are you a Parent/Guardian filling out the form on behalf of a minor student (age 17 and under)?*
  • Format: (000) 000-0000.
  • SMS Notifications (Optional): Check the box below if you would like to receive SMS updates from DPV. By opting in, you authorize DPV to send notifications to the student phone number provided above.
  • Opt-In: Student Portal Access: I authorize DPV to send portal login information and related communications directly to the student’s email. (Leave unchecked if you prefer communications be sent to parents only)
  • Browse Files
    Drag and drop files here
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  • Student #2 Profile

    Please enter the student profile information for Student #2.
  • Format: (000) 000-0000.
  • SMS Notifications (Optional): Check the box below if you would like to receive SMS updates from DPV. By opting in, you authorize DPV to send notifications to the student phone number provided above.
  • Opt-In: Student Portal Access: I authorize DPV to send portal login information and related communications directly to the student’s email. (Leave unchecked if you prefer communications be sent to parents only)
  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof

  • Student #3 Profile

    Please enter the student profile information for Student #3.
  • Format: (000) 000-0000.
  • SMS Notifications (Optional): Check the box below if you would like to receive SMS updates from DPV. By opting in, you authorize DPV to send notifications to the student phone number provided above.
  • Opt-In: Student Portal Access: I authorize DPV to send portal login information and related communications directly to the student’s email. (Leave unchecked if you prefer communications be sent to parents only)
  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof

  • Parent/Guardian Profile

  • Format: (000) 000-0000.
  • SMS Notifications (Optional): Check the box below if you would like to receive SMS updates from DPV. By opting in, you authorize DPV to send notifications to the student phone number provided above.
  • Opt-In: Parent Portal Access: I authorize DPV to send portal login information and related communications directly to the parent’s email. (Leave unchecked if you don't want.)
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • SMS Notifications (Optional): Check the box below if you would like to receive SMS updates from DPV. By opting in, you authorize DPV to send notifications to the student phone number provided above.
  • Opt-In: Parent Portal Access: I authorize DPV to send portal login information and related communications directly to the parent’s email. (Leave unchecked if you don't want.)
  • Format: (000) 000-0000.

  • Media Release/Privacy Consent

  • DPV takes student security seriously. To protect the anonymity of students under 18, we never include names, initials, school branding, or location identifiers (such as addresses or house numbers) in our photos or videos

  • Please indicate whether you grant or refuse DPV permission to use media:
  • Choose your preferred media permissions below:*
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  • Contract & Tuition Payment Authorization

    Please acknowledge the following terms and conditions of our agreement and authorize monthly tuition payments by filling out the form below.
  • Check each box to acknowledge that you understand and agree to all of the following terms and conditions:
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  • Tuition Payment Authorization

    Please confirm authorization for DPV Music Lessons to charge the following verified payment method for the agreed upon Tuition Rate.
  • Select Your Instruction Preference:*

  • I,       , give DPV Music Lessons/Lael Eccard permission to automatically charge the verified payment method for a one-time Registration Fee of $55.00, as well as the Tuition Rate and any applicable coupon code discounts (defined above), this charge will recur on the 1st of each month.

    I understand that tuitions are automatically withdrawn via verified payment method using Mymusicstaff.com (Holidays will receive a credit for a single lesson): *   

    ALL DECLINED CREDIT OR DEBIT CARDS ARE SUBJECT TO A $25 FEE.

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