Greenwich Music Lessons Registration
Student's Name
*
First Name
Last Name
Gender
*
Male
Female
Age
*
Date of Birth
*
Please select a month
January
February
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December
Month
Please select a day
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Day
Please select a year
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Year
Parent's Name(s)
*
If you are an adult student, just enter NA in this field
Address
*
Street Address
Street Address Line 2
City
State
Zip Code
Email
*
example@example.com
Cell Phone Number
*
Please enter a valid phone number.
Payment information
Address for card
*
street address
street address line 2
City
State / Province
Postal / Zip Code
By signing this agreement I confirm that I agree to all of the following lesson fees and policies. Monthly tuition will be charged on the 15th of every month for the following calendar month’s tuition to the credit or debit card provided to Greenwich Music. Monthly tuition is currently based on a rate of $60.00 per thirty minutes for 4 or 5 weekly lessons depending on the day of the week the lessons are scheduled for and the given month. A one time $40.00 registration fee will be charged with the first tuition payment. Make-ups for missed lessons are subject to teacher availability. To request a make-up, Greenwich Music must receive 24 hours notice prior to the missed lesson via email to lessons@greenwichmusic.com or a text to 203-637-1119. All lesson fees are non-refundable. Any lessons for which an instructor is absent will be taught by a qualified substitute. If a sub isn't available, the student will receive a credit towards the following month's tuition. Greenwich Music must be notified of any changes to the card on file in regards to the number, expiration date, name, address, or CVV to ensure a valid card is on file at all times while enrolled in lessons. Tuition will be not pro-rated unless Greenwich Music is closed for lessons on a given date. Tuition rates are subject to change without notice. Termination of lessons must be done by the 15th of the month to avoid charges for the following month by sending an email to lessons@greenwichmusic.com. Greenwich Music does not follow public or private school calendars in regards to closings, vacation, or holidays. Greenwich Music does not have lessons on Memorial Day, July 4th, Labor Day, Thanksgiving Day, and all days from December 24th through January 1st. By signing this I acknowledge that Greenwich Music is not liable for any losses/injuries/damages suffered by myself, or my children while attending/participating in any lessons or related events at Greenwich Music.
*
I do not wish to have my child photographed/videoed for promotional purposes
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