Adult Music Student Registration Form 

    I. Student Information
    Please fill out for 1 or 2 students 
    III.  Classes 

    ONE STUDENT 

    ONE OR MORE STUDENTS 
    IV. Method of Payment
    Monthly tuition is due or charged by the first class of the new month from the 1st until the 3rd. Example: May tuition is due May 1st-3rd 
    Tuition each month remains the same regardless of the number of lessons and/or weeks in a month, regardless of holidays and the student’s attendance, and regardless of extended travel by the student and the instructor.
     Automatic Recurring Billing 
    ​
    To help save you time and energy, we encourage you to set up automatic credit card/debit card recurring billing for music lessons.  This  will save you considerable time because the same amount will be charged to your credit/debit card and never have to think of it again! Plus your payment will always be on time. 

    Please note that your card will not be charged until we confirm with you the first amount due when starting lessons
    I authorize Fortepiano Music Studio to charge my account  
    V.  Studio Adherence Statement
    Your electronic signature indicates your understanding of the guidelines of the Fortepiano Music Studio Guidelines pertaining to Fortepiano Music Studio and agree to abide by their stipulations. Please read the 4 Helpful Things about Tuition, Cancellations, and Make-up Lessons at the bottom of the page
    VI. Media Release Consent 
    Occasionally, photos or video of students are taken during lessons and performances for use in studio newsletters, studio social media, advertising materials, lessons demonstrations, and studio owned websites. The Media Release is found at the end of the Studio Guidelines