Johnston's Joyful Noise Registration & Course Enrollment Form

Parent/Guardian Information
Parent/Guardian Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email Address
example@example.com

Johnston's Joyful Noise Contract

Please click on the image below to review the contract.

Emergency Contact Information
Emergency Contact #1

First NameLast Name
Emergency Contact Phone #1
Please enter a valid phone number.Format: (000) 000-0000.
Relationship to student
I consent for my student to be picked-up by this person
Emergency Contact #2

First NameLast Name
Emergency Contact Phone #2
Please enter a valid phone number.Format: (000) 000-0000.
Relationship to student
I consent for my student to be picked-up by this person
Emergency Contact #3

First NameLast Name
Emergency Contact Phone #3
Please enter a valid phone number.Format: (000) 000-0000.
Relationship to student
I consent for my student to be picked-up by this person

Media Release
Johnston’s Joyful Noise has social media accounts on Facebook and Instagram. These platforms serve as a space to highlight photos and videos of our daily activities, classroom functions, performances and exciting work. If media is shared, students will NEVER be named nor will any identifiable information be shared in video or photo. Please indicate your preferences regarding media permissions.
I give permission for my student’s photograph/video to be featured on the Johnston’s Joyful Noise social media pages. I understand that my student will NEVER be named nor will any identifiable information be shared in video or photo.
I do not give permission for my student’s photograph/video to be featured on the Johnston’s Joyful Noise social media pages. I understand that my student will not be named nor will any identifiable information be shared in video or photo. I understand that my child’s face will be blurred or covered when media is shared online.

Health & Safety Needs
I want to ensure every student has a safe, comfortable, and supportive learning environment. Please share any medical conditions, allergies, disabilities, physical concerns or emotional needs that I should be aware of. Information shared is strictly voluntary to support the safety, wellbeing and success of each student. Please know that any and all information shared will be kept strictly confidential. If you would prefer to submit this information in written form, please refer to page 7 of the contract. You can also contact me directly if you would like to discuss specific health concerns.
Allergies (Latex, Bee Stings, etc.)
Vision/Hearing
Other
Hannah Johnston is not a licensed medical professional and is unable to administer routine medications or treatments. Please be sure that your student has taken any necessary medications/treatments prior to coming to class. By signing, I understand that although Hannah Johnston is certified in First Aid/CPR (American Red Cross), she is not a licensed medical professional and in the event of a medical emergency, 911 will be called.

Tuition Payment Schedule & Preferences
Johnston’s Joyful Noise classes and ensembles are intended to be full-year courses. Families may opt for a Fall or Spring semester with the understanding that it will be incomplete in course content and grade-level specific scope and sequence. By registering for a class, families are committing to a full semester and tuition is due regardless of attendance or early withdrawal from class. The total tuition and fees for a given semester must be paid in full according to one of the following options, to be selected by the Parent/Guardian at the time of enrollment:

(a) Lump-Sum Payment - A semester (or yearly) tuition may be paid in a single lump-sum payment prior to the start of the semester.

(b) Monthly Installment Plan - Please note that monthly installments are provided as a courtesy. The monthly installment is offered only as a fixed, pre-determined schedule covering the entire semester. Johnston’s Joyful Noise does not permit à la carte, drop-in, sporadic, or selective monthly payments. Parent/Guardian may not: Pay for individual days/weeks/ months within a semester while skipping other; alter the number, timing, or amount of installment payments; pause and resume payments at their discretion during the semester.
- Families who would like to pay for a semester at a time will receive a 6% discount (In August or January)
- Families who choose to enroll for the full year of classes in August will receive a 10% discount.
- Families who enroll more than one child will receive a 10% discount for each additional child.
- Students who take more than one class will receive a 10% discount on the second class.
Families will select monthly, semester, or yearly payment preferences below. Payments can be made…
- Online via Square (invoice/payment receipt provided)
  - A 3.3% surcharge will be applied to all transactions paid via Square to cover processing fees.
- Check made out to Hannah Johnston (invoice/payment receipt provided)
- Cash (invoice/payment receipt provided)
Please select your payment/invoice preference

Agreement Signature

By singing below, you affirm that you have read the contract and understand its terms.
I/we understand that participation in music classes involves certain risks. These may include, but are not limited to: Tripping or falling over instruments, materials, chairs; minor injuries related to movement or group activities; accidental contact with other participants. I acknowledge that these risks exist even in a supervised environment. If you consent, please sign below.
I/we, the undersigned parent/guardian, on behalf of the above-named minor, agree to release and hold harmless the instructor, program, and hosting facility (Joy Lutheran Church) from any and all claims, liability, or damages arising from participation in this program, including those arising from ordinary negligence.This release does not apply to gross negligence or intentional misconduct. If you consent, please sign below.
I/we understand that classes are held in a church facility not owned by the instructor, and I agree to respect the property and follow any posted rules. If you consent, please sign below.
I/we have carefully read, fully understand, and agree to abide by all terms, policies, procedures, and expectations outlined in the contract provided by Hannah Johnston. By signing, I/we understand and accept the responsibilities and obligations associated with participation in music instruction, including but not limited to tuition and payment policies, student conduct expectations, safety procedures, and participation guidelines. I/We further acknowledge that failure to comply with the terms of the contract may result in dismissal from classes or other appropriate action at the discretion of owner and instructor, Hannah Johnston. I/we have read and understand this agreement. I voluntarily agree to its terms.
Help Me Get To Know Your Student

Please feel free to add information below to help me to get to know your student better. You can also skip these questions, but YOU MUST CLICK "SUBMIT ENROLLMENT FORM" below to complete the registration process.
Child's favorite color
Child's favorite book
Child's favorite toy
Child's favorite place to visit
Child's favorite movie or show
Child's favorite song to sing
Other favorites...
My child is really good at...
My child doesn't like...
Is there anything else I should know?
Should be Empty: