Registration for Summer Students Piano or Guitar Lessons • 20 Lessons • Jun-Aug Summer Straight Shot Registration Step 1 of 5 20% Parent/Guardian InformationParent/Guardian Name(Required) First Last Primary Email(Required) This email will receive all communication from Arrow AND receive invoice emails.Mobile Phone(Required)Please list a number that will accept text messages.Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Would you like to add an additional Guardian?(Required) Yes No Additional Parent/Guardian Name First Last Primary Email for Additional Parent/Guardian Name This email will receive all communication from Arrow AND receive invoice emails.Mobile Phone for Additional Parent/Guardian NamePlease list a number that will accept text messages. Student InformationHow many students would you like to register?(Required) One student Two students Three students Four students Student Name(Required) First Last Student's School Grade(Required)1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th GradeHigh SchoolChoose the school grade your child will start in the fallBirthday Day(Required) MM slash DD slash YYYY Date MM slash DD slash YYYY A $35 discount will be applied per student if you register before May 1, 2023. The discount will be applied in your shopping cart.Select Lesson Option(Required) Piano In-Person | $760.00 Piano Online | $660.00 Guitar In-Person | $760.00 Guitar Online | $660.00 Classes are twice a week on Mondays and Thursdays.Select Preferred Lesson Time Morning Afternoon Evening Does your child have any special needs we should consider? Second Student Information2nd Student Name(Required) First Last 2nd Student's School Grade(Required)1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th GradeHigh SchoolChoose the school grade your child will start in the fall2nd Birthday Day(Required) MM slash DD slash YYYY Select Lesson Option for Student 2(Required) Piano In-Person| $760.00 Piano Online | $660.00 Guitar In-Person | $760.00 Guitar Online | $660.00 Select Preferred Lesson Time for Student 2 Morning Afternoon Evening Does your second child have any special needs we should consider? Third Student Information3rd Student Name(Required) First Last 3td Student's School Grade(Required)1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th GradeHigh SchoolChoose the school grade your child will start in the fall3rd Birthday Day(Required) MM slash DD slash YYYY Select Lesson Option for Student 3(Required) Piano In-Person | $760.00 Piano Online | $660.00 Guitar In-Person | $760.00 Guitar Online | $660.00 Select Preferred Lesson Time for Student 3 Morning Afternoon Evening Does your third child have any special needs we should consider? Fourth Student Information4th Student Name(Required) First Last 4th Student's School Grade(Required)1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th GradeHigh SchoolChoose the school grade your child will start in the fall4th Birthday Day(Required) MM slash DD slash YYYY Select Lesson Option for Student 4(Required) Piano In-Person | $760.00 Piano Online | $660.00 Guitar In-Person | $760.00 Guitar Online | $660.00 Select Preferred Lesson Time for Student 4 Morning Afternoon Evening Does your fourth child have any special needs we should consider? Music Policy AgreementWhen selecting your preference for online or in-person classes. Please note, students will not be able to move back and forth between online and in-person classes.(Required) YES, I UNDERSTAND New families are required to attend an Arrow Parent Connection Zoom meeting to receive important information vital to your student's success. The meeting is for parents only and will last about 1 hour.(Required) Thursday, June 1 at 6:30 If your student is in first grade, please plan to attend and be engaged with your student during each class.(Required) I AGREE TuitionPayment includes tuition plus materials(Required) Full session tuition: Due upon registration - non-refundable Our Studio Policy document includes our guidelines regarding make-up lessons and tuition payments. *I have read and agree to the studio policy.(Required) YES, I HAVE READ THE STUDIO POLICY Photo ConsentPhoto Consent(Required)I hereby authorize Arrow Academy of Music, hereafter referred to as “Company,” to publish photographs and/or videos of myself and/or the minor child or children listed in this registration for use in Arrow Academy of Music's print, online and video-based marketing materials, as well as other Company publications. I hereby release and hold harmless Arrow Academy of Music from any reasonable expectation of privacy or confidentiality for myself and for the minor child and children listed below associated with the images specified above. Further, I attest that I am the parent or legal guardian of the child or children listed below and that I have full authority to consent and authorize Arrow Academy of Music to use these images in any lawful way. I further acknowledge that participation is voluntary and that neither I, the minor child, nor the minor children will receive financial compensation of any type associated with the taking or publication of these photographs or participation in company marketing materials or other Company publications. I acknowledge and agree that publication of said photos confers no rights of ownership or royalties whatsoever. I hereby release Arrow Academy of Music, its contractors, its employees and any third parties involved in the creation or publication of Company publications, from liability for any claims by me or any third party in connection with my participation or the participation of the minor children listed below. I AGREE I DO NOT AGREE Photo Responsibility(Required)Since you do not wish to have your child appear in photographs and videos published by the studio, please understand that it is your responsibility to prevent your child from joining group photographs/videos. I AGREE PayPal PaymentSubtotal $0.00 Early Bird Discount $0.00 Early Bird Discount $0.00 Early Bird Discount $0.00 Early Bird Discount $0.00 Total Rebate Code Rebate will be issued on your school year September tuition.IMPORTANT NOTE: Please disable pop-up blockers in your browser if paying via PayPal. This will allow you to access the PayPal payment options.Payment Method(Required)PayPal CheckoutCredit Card MasterCardVisaSupported Credit Cards: MasterCard, Visa Card Number Expiration Date Security Code Cardholder Name EmailThis field is for validation purposes and should be left unchanged. Δ