2025 Summer Registration Form

2025 Summer Registration Form

07/07 ~ 08/23
1. Student's Name*

First NameMiddle NameLast Name
2. Student's Gender*

BoyGirlNon-Binary
3. Student's Birthday*

MonthDayYear
Date
4. Student's day school name: *
5. Instrument (choose all that apply)*

GuitarUkulelePianoViolinDrumVoiceComposition/Music TechSong Writing
6. Class Length & Location

30min45min60minAt Music BeansIn-HomeVirtual
7. Preferred Class Day/Time & Dates, comments
8. Contact Person/Relationship to the student(s)/Phone number*
i.e. Lily Rutkowski (mom) 917-388-8888
9. Your Email Address
example@example.com
10. Address
11. Care taker's contact info
i.e Nanny: Linda 212-399-9999 or Grandmom: Rose 212-388-2288
12. How did you hear about us?

Current StudentReturning studentsGoogle SearchMusic Beans WebsiteSocial MediaOther

Summer Tuition

07/07 - 08/23 (7 sessions)

30 min ($69/cls)

45 min ($83/cls)

60 min ($100 cls)

Tuition

$513

$611

$730

Special Rate
(5% off)

Ends May 24th

$489

$582

$695

Additional Fee:

*$30 Summer Admin Fee – Applies to all students (already included above)

*$30 One-Time Registration Fee – Applies to new students (will be included in total)

Note:

1) Flexible class packages available to accommodate your travel plans

2) A 5% discount applies to packages of 4 or more classes

3) Siblings or students taking a second instrument receive a 5% discount

Payment Options

1. Zelle: admin@musicbeans.com

2. Venmo: @L-Beans

Withdrawal & Refund

1. All the requests for withdrawal must be received in writing by Music Beans.

2. Tuition is NON-REFUNDABLE after the second class of the registered semester.

3. A tuition credit or refund for unused lessons is available minus an $80 withdrawal fee.

4. Students are responsible for the tuition of any lessons within a two-week notice period.

5. The registration and administration fees are not refundable.
Waiver, Release, and Indemnity

1. We hereby authorize Music Beans (“MB”) to take emergency procedures/actions MB deems appropriate in the event a child is ever left unattended while participating in the program. We further waive claims against MB with respect to the same. We further represent that neither us nor our child will be ill when coming to Music Beans and the child will not, to the best of our knowledge, have been exposed to any contagious disease.

2. We agree not to directly or indirectly solicit, recruit, attempt to hire or recruit, or raid the personnel of MB or otherwise induce the separation of any personnel from MB.

3. We agree that my children may be videotaped, filmed, or photographed at Music Beans school-related functions and during class activities. We grant permission to MB to use the materials above on its official website, social media, or in other official school printed publications. MB agrees to will not sell any of the above materials to a third party.
I hereby state that the above information Waiver, Release and Indemnity of Music Beans, is accurate. I understand and agree to all of the terms and conditions set forth above.*

Yes
Signature*

Clear
Date

MonthDayYear
Date
Should be Empty: