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 minutes: $35.0045 minutes: $52.5060 minutes: $70.00Please 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*PLEASE NOTE: No refund or reschedule for trial lesson unless a 24-hour notice is given.(Initial to accept terms.) *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.) Declaration*I agree with the contents and policies of this trial lesson form. (To authorize and accept, please initial and date.)Printed Name*Please provide the name of the person completing the form.Comments or QuestionsTrial Lesson Payment*30 Minute Trial45 Minute Trial60 Minute TrialSubmit your payment to complete your application.Total $0.00 NameThis field is for validation purposes and should be left unchanged.