Cholee Lake

Cholee Lake ELEMENTARY winter 2025 Registration

ART OF PIANO PLAYING MUSIC SCHOOL
Student`s name (1 student per form)*

First NameLast Name
School name*
Classroom teacher last name *
Grade*
Day of class (as advertised on the flyer)*

WEDNESDAY
Parent`s name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Alternative Phone Number
Please enter a valid phone number.
Email*
example@example.com
How will your child be dismissed at the end of the class? Your Child is: No walking home without a written authorization and an accompanying adult is allowed*

Car riderAftercare
List full names of people that are authorized to pick up your child after our class (only if student is a car rider. If they go to aftercare write - N/A)*
By submitting this form you agree to the following terms and conditions:

Enrollment:
You are registering for the Dec–Feb 2025–26 term. A partial or full payment is required at the time of registration. Please note that your child is NOT considered enrolled until payment is received.

By registering, you are subscribing for the full term. Even if you selected an installment plan, you are responsible for completing all scheduled payments for the entire term unless you unsubscribe (withdraw) within the first two weeks of class. Failure to pay the remaining balance may result in your account being sent to a collection agency, which could impact your credit.

Enrollment Changes:
Requests for day changes or withdrawals will be processed by our office only if the request is emailed within the first two weeks of the term and there are available slots.

Cancellation / Refund Policy:
Fifty percent (50%) of the first installment payment serves as a non-refundable deposit. The remaining 50% of the first installment payment is refundable only if the cancellation request is emailed within the first two weeks of the term.

If you paid the total term balance upfront, you will be charged only for the lessons attended and refunded the remaining balance, provided your cancellation request is submitted within the first two weeks.

No refunds, credits, or make-ups will be given for absences, illness, or behavioral dismissals. In case of emergency, a make-up may be arranged if your school offers multiple class days and space permits.

COST OF LESSONS:

SCHOOL	DAY	START DATE	END DATE	DURATION	TOTAL COST	INSTALLMENT SCHEDULE
Cholee Lake	WED	12/3	2/25	10 WEEKS	$250	$250 DUE AT REGISTRATION

PAYMENT INSTRUCTIONS:

- Enrollment requires a payment of the partial or total balance at registration. If you need to pay in installments please inquire via email: artofpianoplaying@aol.com

- Check out with the card is below. A surcharge of 3.5% (NON REFUNDABLE) will be applied automatically at the checkout

- If you would like to pay via Zelle (no surcharge), you can bypass the checkout below and hit the green SUBMIT button so we receive your form. DO NOT PUT CHECKMARK NEXT TO THE AMOUNT. REMEMBER TO FILL OUT YOUR ADDRESS-MANDATORY To pay with Zelle, TAKE A SCRENNSHOT OF THIS PAGE FIRST please add this number as your recepient on Zelle: 646-221-7518 (Dina Paolucci). Important: If you are paying with Zelle, we will not be able to acknowledge receipt of payment right away due to a high volume of transactions. Please call 646-221-7518 if you like to make sure your payment was received. When making payment on Zelle, the following MUST be indicated so we know who you paid for: payment # (if paying in installments), student name, school name. Payments without notes WILL NOT be accepted

- If you are paying in installments, we will send you a reminder email with a pay link, at the time when the next installment payment is due

Once payment is submitted you will see a payment/registration confirmation on the screen. Please expect a welcome email with dates of lessons and other important information. IF YOU DON`T RECEIVE THAT EMAIL A DAY BEFORE THE START OF CLASS, YOU NEED TO CALL US RIGHT AWAY. We don`t want you to miss out on our updates throughout the term. Thank you for taking our lessons!
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

DO NOT PUT A CHEKMARK HERE IF YOU ARE PAYING ON ZELLE. JUST HIT THE SUBMIT BUTTON

Piano Club Lessons

$250.00

Subtotal

$0.00

Tax

$0.00

Total

$0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Should be Empty:

Cholee Lake ELEMENTARY winter 2025 Registration