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Registration Form 2021-2022

Registration Form 2021-2022

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Parent Name:*
Address:*
Student Name (1):*
Instrument Choice(1):*
Student Name (2):
Instrument Choice(2):
Phone:*
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E-mail:*
How did you hear about us?:*
Additional Notes:
Birth-date (1):*
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Birth-date (2):
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On this page when you select the class you are signing up for you will find the total cost of the semester has been added to your total. The Fall and Spring Semester consists of 18 lessons each and you have the option of paying for the entire semester upfront or you can divide your payment into equal monthly payments; which are due on the first of each month. Upon enrolling, you are committed to the entire semester of lessons. To withdraw you must notify the studio within 30 days.  

Annual Registration:*
Classes:
Private Lessons:
Preferred Day:*
Preferred Time of Day:*
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  • A $50 deposit is due at the time of enrollment and is non-refundable. The remaining balance is processed when you come in for your first lesson. 
  • All classes must meet required enrollment minimum. If minimum is not met, all deposit fees will be refunded.
Card Type:*
Credit /Debit Card Number:*
Expiration Date:*
Security Code (Cvv):*
Total:
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By submitting this form:

• The submitting of this form implies agreement to, and the observance of, the Studio Policy of NC Music Center, and the payment of all fees associated with the course(s), lessons, instruction, sessions as listed above.

I understand my child may be photographed /video graphed for use by NC Music Center publications/website or for use by all forms of media.


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