Benson School of Music - Private Lesson Registration Form (2025/2026 year)

Benson School of Music: Registration for PRIVATE LESSONS for 2025/2026 school year

Please email at info@bensonschoolofmusic.ca with any questions!
Private Lessons - Tuition Information:
*Tuition fee includes 34 private lessons from Sept - June

* $25 non-refundable registration fee added upon registration

* A $49 tuition non-refundable deposit is required upon registration - you can pay via credit card when you submit your registration form.

The card you use upon registration will be used for automatic monthly payments. This tuition deposit amount will be deducted from your 2025/2026 tuition price.

Note about registering mid-year: the below prices reflect a full year of tuition only.

Should you register mid-year, our administration will provide you with a pro-rated monthly cost, reflecting how many lessons you will receive in total.

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Tuition payments for a full year (34 lessons)
AFTER $49 tuition deposit (paid upon registration) deducted:

30 min lessons:
10 equal monthly payments (Sept 15 - June 15): $108.43 monthly

45 min lessons:
10 equal monthly payments (Sept 15 - June 15): $165.10 monthly

60 min lessons:
10 equal monthly payments (Sept 15 - June 15): $221.77 monthly
STUDIO POLICIES:

Please click the link below to view our Private Lesson studio policies BEFORE completing registration!

Please let us know at info@bensonschoolofmusic.ca if you have any questions!

LINK for PRIVATE LESSON Studio Policies (please click the link below):
Private Lesson Studio Policies 2025/2026
Student Name*

First NameLast Name
Student Birth Date*

MonthDayYear
Parent/Guardian Name (1)
Parent/Guardian CELL phone number (1) - Please indicate name associated with each number
Parent/Guardian email address (1)
Parent/Guardian Name (2)
Parent/Guardian CELL phone number (2) - Please indicate name associated with each number
Parent/Guardian email address (2)
Student Address
Is there anything we should know about you? (allergies, dietary concerns, diagnosis, etc)
Choice of instrument(s) (note: if two instruments, please choose both instruments here. We recommend 45 - 60 mins for a two-instrument lesson combo)

PianoVoiceAcoustic GuitarElectric GuitarDrumsViolinElectric BassUkuleleTheory and/or Aural Skills
Please choose the length of your lesson (note: any combo instrument lesson should be at LEAST 45 minutes, but potentially longer at the recommendation of the teacher).

30 minutes (beginners and/or learning one instrument recreationally)45 minutes (intermediate students and/or those wishing to learn two instruments in one lesson)60 minutes (intermediate-to-advanced students and/or those wishing to learn two instruments in one lesson more intricately.)Unsure - need to discuss with studio admin
Please indicate preferred payment schedule

Monthly automatic payments (via credit card ONLY, using the card used upon registration. Sorry, no EMTs)Payment in Full (via EMT only)
Your Private Lesson Time/Slot:
Please use this link to view our current availability by instrument:
Private lesson slot availability - click HERE

*schedule is subject to change
*lesson slots listed are 30 minutes
*lesson slots are first come, first served
*if a lesson slot is 'on hold', it means there is a free trial lesson reserved for that spot

You can use this sheet to choose a lesson time that works best for you - please include 2-3 possible lesson times from this list in the space below
Please use this space to choose at least THREE (3) preferred lesson slot times, using the link above
Please add any additional info you think we should know about your preferred lesson time slot! Note: if you have already had a free trial, you can enter the time slot here.
Please indicate preferred teacher(s) (if any) You can select more than one teacher.

No preference/wish to discuss best option with adminJennifer BensonMelody RodgersTabitha PayzantChloe ClarkeJess CollinsLauren DavisEvan WestAnne JewczykJenna GrantDavid EguigurenAdriana PowerPeggy KinsellaLilly PopeAlex AbbottOther
Please indicate if you would like to explore different teacher options if it means simultaneous and/or back-to-back sibling or instrument lessons
How did you hear about us?

Social media - FacebookSocial media - InstagramSignage outside of buildingWord-of-mouth from another family (if so, please consider indicating their name below)Other
If you were referred by a current BSoM studio family, please write their name here
I have read and agree to all of the studio policies that were sent via email. Please get in touch with any questions re: policies BEFORE registering by emailing jenniferbensonmusic@gmail.com

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I acknowledge that by providing my electronic signature, I realize that photos or video may be taken in class for the use of educational and promotional purposes. I understand that if my preference is to NOT have photos/videos shared on social media, I must email jenniferbensonmusic@gmail.com to notify our office.

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Tuition Deposit - $49 (due upon registration - NON REFUNDABLE)

2025/2026 Tuition Deposit (non-refundable)$49.00CAD

Non-refundable and due upon registration - this deposit will be subtracted from your 2025/2026 tuition total

Quantity

Registration Fee - $25 (NON-REFUNDABLE)$25.00CAD

Non-refundable. Due upon registration.

Quantity
Item subtotal:$0.00CAD

Total $0.00CAD

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

Should be Empty:

Benson School of Music: Registration for PRIVATE LESSONS for 2025/2026 school year