2020-2021 Registration Form

2020-21 RSM Private Lesson Registration Form

PROGRAM DESCRIPTION - Our music instruction focuses on developing a well-rounded musician. All private lesson students have the option to participate in enhancement activities, which includes student recitals (four per year), honors performance, musicianship classes, master classes, nursing home performances, community performances, competitions, county music exams and festivals. Photos and videos may be taken of students and parents at these special events and posted periodically on our website and social media with no names attached.

REGISTRATION and COMMITMENT: Our 37-week Academic Year 2020-21 begins Aug. 31, 2020 and ends June 12, 2021 (please see our handbook for more details). The academic calendar can also be viewed on our website. Students may start our program at any time during the year. Piano, string, guitar and percussion students have the option to select online lessons or in-person lessons. All woodwind, brass and voice lessons will be online until further notice. Upon registration, students commit to the program through June 12, 2020.
Student Name
First Last
Student Birthdate*
Student Age*
Please enter a number from 3 to 100.
School and Grade*
Student Email*
Enter Email Confirm Email
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Student Home Number*
Student Mobile Number*
Parent / Guardian Name (1)*
First Last
Parent / Guardian Email (1)*
Enter Email Confirm Email
Parent / Guardian Phone (1)*
Parent / Guardian Name (2)
First Last
Parent / Guardian Email (2)
Enter Email Confirm Email
Parent / Guardian Phone (2)
Emergency Information
All information will remain confidential. Please tell us about any medical physical, or other concerns that may affect the applicant's participation in RSM programs.

PLAN A: Payment in full. Full payment is due at the time of registration. A 5% discount is given for Plan A registration received through December 19, 2020 for first installment and June 12, 2021 for second installment. Tuition will not be prorated or credited for planned or unplanned missed lessons (must pay a minimum of four months).

PLAN B: Monthly payment. Tuition balance will be paid in equal installments to be received no later than the first day of each month with credit card, cash, or check. Tuition may be paid online, mailed, placed in drop box, or through our recurring payment system. Monthly tuition will not be prorated or credited for planned or unplanned missed lessons.
Choose Desired Payment Plan*
- Plan A
- Plan B
Late Fee*
Tuition is due the first of the month. If tuition is late, student will not be permitted to receive lessons unless tuition is received 24 hours before lessons begin. If tuition is not received by the third of the month, a $25 late fee will be applied to student’s tuition. No make-up will be given for this missed lesson. If tuition is not received by the 14th day of the month, student will be withdrawn from RSM. Note: A $35 fee will be charged for checks or credit cards that are unable to be processed. (Initial to accept terms.) *
Billing Method*
- Email Monthly Invoices
- Recurring Payments (fill our required form at RSM)
Monthly invoices will be emailed if recurring payment is not preferred. Select the method you prefer: *
Invoice Email Address*
Enter Email Confirm Email
Make Up Lesson Policy*
PLEASE NOTE: Due to limited availability on teacher's schedule, students will be given a total of (2) two make-up lessons at no additional cost for the academic year for any absences if a 24-hour notice is given. Makeup lessons will not be given for any reason if a 24-hour notice is not given. This includes last minute cancellations traffic as teacher needs adequate time of notification and must be compensated for their time. Once students have received their two makeups for the academic year, no other makeups will be provided. Students will be notified once they have reached their maximum makeup quota for the year. All makeup lessons must be completed by June 12th. After June 12th, any incomplete lessons will be forfeited. In case of inclement weather, emergency closure or administration leave, lessons will be rescheduled for an alternate day. Please see our handbook for more details. If students are sick or experiencing COVID related symptoms including last minute illness, they should not attend class in-person and should contact the RSM office as soon as possible. An online session may be offered instead.
Parent / Caregiver Responsibility*
Parents/Caregivers should be on time to pick up their child/children once lessons or classes have ended. Parents/Caregivers are financially responsible for any damages to RSM’s materials, equipment or property incurred by their children. (Initial to accept terms.)
Cancellation*
Two-week written notice must be given to the RSM Office for lesson termination. RSM reserves the right to terminate lessons for non-payment of tuition. (Initial to accept terms.)
Declaration*
I have indicated my chosen tuition payment plan and billing method on this form. I agree with the contents and policies of this registration form, photo/imaging guidelines and the 2020-2021 parent/student handbook. (To authorize and accept, please initial and date.)
Printed Name*
Please provide the name of the person completing the form.
Comments or Questions
Name
This field is for validation purposes and should be left unchanged.

2020-21 RSM Private Lesson Registration Form

Step 1 of 3