Trial Lesson Form Trial Lesson Form Step 1 of 3 33% TRIAL LESSON - New students interested in enrolling in music lessons have the option to sign up for a trial lesson. Student Name* First Last Student Age*School and Grade*Student Email* Enter Email Confirm Email Student Phone 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) Instrument(s) of Study*Please provide the instrument(s) the student will study.Trial Lesson Length* 30 Minute Trial: $43.00 45 Minute Trial: $64.50 60 Minute Trial: $86.00 Please provide the trial lesson length you prefer.Date and Time of Trial Lesson*Please provide the day and time you would like to have your lesson.Music Experience*Has the student previously taken lessons on the instrument desired? If yes, please explain. Cancelation Policy - 24 Hour Notice Required* I agree to the cancellation policy.PLEASE NOTE: No refund or reschedule for trial lesson unless a 24-hour notice is given.Parent / Caregiver Responsibility Policy* I agree to the Parent / Caregiver Responsibility Policy.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. Declaration* I agree with the contents and policies of this trial lesson form.Printed Name*Please provide the name of the person completing the form.Comments or QuestionsTotal Amount Due $0.00 OptionFirst OptionSecond OptionThird OptionTotal $0.00 PhoneThis field is for validation purposes and should be left unchanged. Δ