Music Registration Form

Student Name

First Name

Last Name

Contact Email

Email of adult student or student's parent/guardian.

Contact Phone

Phone number of adult student or student's parent/guardian.

(###)

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Parent/Guardian Name

If applicable

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Student Race/Ethnicity

Student Sex/Gender

Student Date of Birth

YYYY

Emergency Contact (Not Student)

(###)

###

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Instrument or Class

Age restrictions apply to certain instruments. Voice instruction depends on the maturity of the voice. Youth Orchestra requires at least one year of musical training in the selected instrument.

Instructor Name

Include the instructor's name if known.

Lesson or Class Day

Include the lesson or class day if known. If registering without scheduling lessons prior, please include preferred lesson day(s).

Lesson or Class Time

Include the lesson or class time if known. If registering without scheduling lessons prior, please include preferred lesson time(s).

Terms of Registration

Tuition is due the first of each month during the fall and spring semesters as tuition is charged monthly. Tuition is due by the 20th of the month during the summer semester as tuition is charged per-lesson. A late fee of $15.00 will be added after the 5th of the month. Student recitals will count as one lesson for students with participating instructors. Students must give a written, two-week notice before dropping a class. If notification is not received the student will be charged for the two weeks after the drop is determined. Drop forms are available outside the office or online. There is a semesterly registration fee of $25 for Fall and $25 for Spring. Registration fees are non-refundable and non-transferable. Registration fees and forms are required in order to secure slot and begin classes. In support of "going green" efforts, E-mail addresses are used for communicating with students/families. I/We agree to: a. come prepared for the lesson each week; b. treat instructors and staff with respect; c. abide by the Policy and Procedures as listed on the GSOA website; d. keep the door code confidential by not sharing or admitting others; e. give permission to GSOA to photography or videotape myself or my children in relation to their participation at GSOA*; f. give 24-hour notice for any lesson cancellations with the exception of emergencies**; g. and give a written, two-week notice before dropping a class.*** *Photographs or videotape may be used for archival or promotional purposes. Last names of children will be withheld from publications, if requested in the comment section. GSOA will not “tag” children on Facebook or other social media. **A make-up lesson will be offered at the discretion of the instructor. If an instructor misses a lesson, a makeup lesson will be offered. During the pay per month semesters ( fall & spring), if a student misses a lesson or class, the student is still billed for that lesson or class. During the pay per lesson semester (summer), students must let their instructor know at least 24 hours before their lesson if the student will be absent. If notice is not given, students will be billed for that lesson (with the exception of emergencies). ***If notice is not received, the student is responsible for payment for the two weeks after drop has been determined.

Additional Information

Please include any additional information that we may need to know. If registering for the Youth Orchestra, please include instrument and years of experience.

Music Registration Form

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