NSMS Admissions – 5 or 10 – Online Theory Tutoring Package

Theory Student Registration

Online Theory Tutoring Package
You will receive a confirmation email once we receive your registration. Please contact admissions@nsmspiano.org if you do not receive a confirmation email after submitting.
Student Name*

First NameLast Name
Instrument(s) played*
Theory Level or Years of Lessons*
Please indicate the student's level (i.e. RCM 3, ABRSM 2) or years of study (2 years, 3.5 years)
Student Gender*
Student Birthday*

MonthDayYear
Date
Student's Current School
Parent Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Home Address*

Street Address

Street Address Line 2

CityState

Zip Code
Parent Occupations / Adult Student Occupation*

Do you have other family members currently enrolled at NSMS?*

YESNO
If yes, please enter the first and last names of those family members.*
PRIVATE LESSON AVAILABILITY

We will do our best to honor scheduling requests, but our capacity is limited. Please list all available times.

Please provide a RANGE of available times on at least 3 days:*

	Range of Available Times
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

Additional notes on scheduling:

Policies
Make-Up Lesson Policy

There are no refunds or credits for lessons not taken during the term. However, we will guarantee a make-up for one missed private lesson per year. A twenty-four hour notice is required for any cause except illness. If it is necessary for a teacher to cancel a lesson, or if the school closes because of inclement weather, a make-up lesson will be scheduled.

Make-up lessons cannot be rescheduled. Group lessons missed by students cannot be made up under any circumstances. Some faculty may offer an online lesson in the case of inclement weather or illness, and teachers may provide a swap list to families. Families are encouraged to take advantage of these options. Please do not come in if you are sick; if a student has missed school, they should not come to piano that day.
Please check the boxes below.*

I agree to the make-up lesson policy.
Photograph and Video Usage Consent

With your consent, photographs or recorded video of your/your child's piano lessons or group classes may be used and reproduced as part of teacher education resources for the Frances Clark Center for Keyboard Pedagogy, without compensation to you. You/your child will remain anonymous. Your/your child's first name may be stated during a video if it occurs as part of the interaction during the lesson/class. Student surnames will never be mentioned or published alongside a video or photograph.

The Frances Clark Center reserves the right to use the photographs and videos in any of its print or online publications and advertisements. All resultant photographs, digital images, video files, and related media are owned by The Frances Clark Center. Please check the box below:
I hereby consent to authorize The Frances Clark Center for Keyboard Pedagogy to use photographs and video of my/my child's piano education activities.
Payment

My Products*

5-Lesson Package2025-2026 Theory Student Enrollment

$248.00

10-Lesson Package2025-2026 Theory Student Enrollment

$499.00

Enter coupon

Total

$0.00

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Theory Student Registration

Policies

Payment