Registration Form for 1st & 2nd Graders' Online Beginner Piano Club
We are offering an online piano club for 1st & 2nd graders. This club is for beginner pianists who have had 0-2 months of piano lessons. It is a 10-week class held on Wednesdays from 4:30 to 5:15 pm in our virtual classroom via Zoom. The club's first meeting will be held after the club has 7 students registered. Parents will be notified of the start date when the club is full. All lesson material and sheet music will be provided by Next Step Ed. and is included with tuition.
Child's Name
*
First Name
Last Name
Child's skill level on instrument
*
Beginner (0-2 months of lessons)
Child's Grade (2020-21 school year)
*
1st
2nd
Does your child have any allergies or medical conditions Next Step Ed. needs to be aware of?
*
Provide us a brief description of special needs our instructors need to be aware of or enter None
Parent's Name
*
First Name
Last Name
Parent E-mail
*
Please use your primary email account and that it is entered correctly as this is our main mode of communication.
Primary Phone Number
*
-
Area Code
Phone Number
Second Phone Number
-
Area Code
Phone Number
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
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Country
Emergency Contact Person
*
First Name
Last Name
Relation to Student
Emergency Contact's Phone Number
*
-
Area Code
Phone Number
How did you hear about Next Step Educators
Flyer
School Announcement
School Open House/Meet the Teacher
Road Sign
Another Parent or Student
School Staff Member
Next Step Educators Representative
Web Search
eFlyer (ex. PeachJar)
Social Media (ex. Facebook, Twitter, ex.)
Other
General Policies
Clubs will meet each week on the day that is specified in the schedule. Next Step Ed. does not refund tuition for any class or classes missed by your child or children. If your child or children do miss a class or classes, they will be caught up by the Assistant or Teacher as necessary at the next class they attend. No refund will be given for the lessons your child or children has attended or was enrolled for at the time of the lesson. Students can be withdrawn at any time by written notice to the Next Step Ed. office and the remaining tuition will be pro-rated accordingly. We at Next Step Ed. provide a safe, happy, and motivational atmosphere for our students to learn in. We, therefore, retain the right to expel any student who disrupts this atmosphere as our Teachers see fit. Permanent expulsions will occur only after the parent has been notified and the disruptive behavior continues.
Do you agree to the above general policies?
*
Yes
Payment Policy
Payments will NOT be accepted at schools, either by a Next Step Ed. representative or the School Staff. Payments are made using PayPal, Visa, Discover, and Master Cards through a PayPal invoice. $50 per child is due upon registration to save his/her spot in the club. After that, you can pay as much as you want when you want, but the tuition must be paid in full by the 7th club meeting. The specific due date will be determined after the club has it's first meeting.
Do you agree to the above payment policy?
*
Yes
Scholarship
We are happy to offer scholarships for students who have the desire to learn music, but whose family may not have the means to pay the full tuition price. If your child receives a free/reduced lunch, he/she may qualify for a scholarship.
Does your child receive a free/reduced lunch at school and would like to see if he/she qualifies for a scholarship?
*
Yes
No
Liability Policy
By submitting this registration, I hereby, for myself, my family, and administrators, waive and release any and all claims and damages I may have against Next Step Ed. and their respective agents, representatives, successors, and assigns, for any and all injuries which may be suffered by me or my family in connection with participation in Next Step Ed. activities and programs.
Do you agree to the above liability policy
*
Yes
Personal Information Security Policy
We keep your personal information private and secure. When you submit a registration form and/or make a payment on your invoice, you provide your name, your child's name, any special needs he or she may have, your email address, credit card information, address, and phone number. We use this information to process your registrations, to provide relevant information to your child's Next Step Ed. instructor so he or she can meet your child or children's needs and to keep you updated on news, events, and special articles of interest about Next Step Ed. and relevant community events. We will not sell, rent or loan your personal information to any third parties.
Do you agree to above personal information security policy?
*
Yes
Photo Release
I hereby give my consent for Next Step Ed. and affiliates to use my child's photograph and likeness in all forms and media for advertising, trade and any other lawful purposes.
Do you agree to the above photo release?
*
Yes
No
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