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MUSICSTAR® ACADEMY | Music Lesson Sign-Up Form
  1. Thank you for using this no-risk online registration form! As registration is contingent on teacher and schedule availability, you will not be charged for anything until lessons are confirmed with you. Your first lesson with MUSICSTAR® is always free, and you can quit lessons anytime.
  2. Student's First Name(*)
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  3. Student's Last Name(*)
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  4. Age Group
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  5. Parent's First Name(*)
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  6. Parent's Last Name(*)
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  7. Phone Number(*)
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  8. Alt Phone Number
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  9. Email Address(*)
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  10. Street Address(*)
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  11. City(*)
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  12. State
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  13. Zip Code(*)
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  14.  
  1. Instrument Group(*)








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  2. Specified Instrument
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  3. Lesson Type
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  4. Perferred Lesson Day(*)
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  5. Preferred Lesson Time(*)
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  6. 2nd Perferred Lesson Day
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  7. 2nd Preferred Lesson Time
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  8. 3rd Perferred Lesson Day
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  9. 3rd Preferred Lesson Time
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  10. Student's Level(*)



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  11. Preferred Teacher
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  12.  
  1. Terms & Conditions

    This Lesson Registration is contingent on teacher and schedule availability. You will not be charged for any lessons or registration fees until final confirmation of your lessons has been issued. Your First Lesson will be provided for FREE. A $25 non-refundable registration fee will be payable in advance. If, for any reason, you are not satisfied with your First Lesson, which will be provided free of charge, you may either request another teacher or receive a full refund of your deposit payment, not including the non-refundable registration fee. You may quit your lessons without penalty at any time by providing two-week’s notice of termination. You will be invoiced for your lesson schedule monthly. Late payments carry a monthly late fee of $10. All lessons per agreed schedule are billable whether attended by the student or not. Make-ups or Credits are issued for teacher absences.

  2. Please Check (*)
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  3. Credit Card Type
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  4. Credit Card Number
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  5. Month
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  6. Year
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  7. CVV
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  8. YES, I agree to my credit card being charged for registration fees and tuition according to the Terms & Conditions above.

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  9. CAPTCHA(*)
    CAPTCHA
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  10. Submit