MuzkiMakers Kids Rock Band Class Form

MuzikMakers Rock Band class
A special class designed to help get your child excited about music!
ABOUT THE CLASS:

MuzikMakers Rock Band class for ages 4-7

Current Days/Times: THR 3:15pm Class

• Class is 45 minutes in length each week

• $25 non-refundable enrollment is due upon receipt of this form by our office*

• Tuition: $116/month per child
• Drums, Electric Guitar, Electric Bass, Piano/Keyboards are provided in class
• No “homework” required between class

*waived for currently enrolled Moscow Music Academy students.
I am signing my child up for Kids Rock Band Class on:
PARTICIPATION CONSENT/WAIVER
I wish to enroll my child in the MuzikMakers Rock Band class. I understand that a non-refundable $25 enrollment per child ($40 per 2 in a family) is due upon submitting the pre-enrollment form. I understand one-month tuition of $116 for the first class is due at the time of enrollment (prior to attending the first class) and that my child's class placement will be forfeited and the $25 enrollment fee will NOT be refunded if the tuition balance due is not paid. I understand that subsequent monthly payment for the next month’s class is due by the 16th of each month.

To discontinue participation and tuition charges in ensemble class(es), the academy office must be notified in writing before the 15th of your last month. Written notices received on the 16th day of the month or later will become effective for the following withdrawal deadline. Tuition is not pro-rated for students not finishing out their last month of class.
Student Name

First NameLast Name
Student Date of Birth*

MonthDayYear
Date
Parent(s) Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent Phone Number*
Work/Emergency Phone
Primary Email*
example@example.com
Please let us know how you heard about Moscow Music Academy?
I understand and accept the tuition payment policy

Clear
I understand and accept the student class cancellation policy

Clear
I understand and accept the missed class/late arrival policy

Clear
I understand and accept the class withdrawal policy

Clear
Does the academy have permission to take/use photo of your child for promotional materials?
I understand the image waiver policy

Clear
Parent Signature or Legal Guardian of Student*

Clear
Signature Date*

MonthDayYear
Date
Should be Empty:

MuzikMakers Rock Band class

PARTICIPATION CONSENT/WAIVER