Student Registration
(Please return this form along with the $25 registration fee to insure placement)
Students Name: ________________________________________________Grade: _________________
Are
you over the age of 18? Yes No
Home #:_________________________________________
Address: _____________________________________________________________________________
City: _______________________ Zip: __________________
Mother’s Name: ______________________________ Work #:_______________ Cell #:______________
Father’s Name: _______________________________ Work #:_______________ Cell #:______________
Email: _______________________________________________
If a person other than the parent will be responsible for the student please provide the following:
Name: _________________________________ Relationship to student: ________________________
Home #:____________________________ Cell#:_________________________________
How
did you hear about us?
Newspaper_______________
Magazine______________
Internet__________________
Other_________________
I
DO NOT consent to the use of my child’s picture being displayed in the school
or on advertisements related to the school. Yes No
Have you ever studied music before? ________Years? _______ __Instrument? ____________
I understand and agree to the terms and conditions set
forth by The Master’s Touch School and Performing Arts, LLC.
I understand that tuition is due on the 1st of each
month. Please note that a $20.00
late fee will be assessed if tuition is not paid by the 10th. I understand that a 2 week notice is required before a
student will be dropped from classes. It is the policy of our school that
students will continue to be billed for lessons each month until an
official drop notice has been received.
This form is available at the front desk. I understand that I am
financially responsible for the 2 weeks following the drop notice, whether
or not the student attends the classes, and that all remaining balances are
due in full at the time the 2 week notice is submitted. Student/Guardian Signature:
___________________________________ Date: _______________
