Lesson Application Please take your time and be sure to complete all the required fields. Thank you. Step 1 of 3 0% Step 1 - Lesson/Class RegistrationStudent's Name* First Last Is this a new registration or has the student information changed?*YesNoIs there anything special we should know about your child (allergies)?Student's Date of Birth* Date Format: MM slash DD slash YYYY Contact Name First Last Relationship to StudentAs the contact person what is your relationship to the student?Home PhoneMobile PhoneAlternate PhoneEmail* Enter Email Confirm Email Address Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Please tell us how you heard about Renée's Music StudioFacebookPrinted AdInternetReferralPermission to use child’s picture for website or advertising?*YesNo Part 3 - Registration and Post Dated ChequesWhat are you registering for?*(Please select all that apply) Summer Private Lessons July and August Summer Camp July 29-Aug 2 Summer Ukulele Group Classes July 8 to Aug 26 Registration for Sep 2019 to May 2020 Private Lessons: Please Select Instrument*(Select all that apply) Piano Violin Vocal Guitar Ukulele Drum Select Your Preferred Piano InstructorRenée Blanchette RutledgeMitchell MullinMadison ToulouseErin JohnstoneYour Vocal Instructor will be Madison Toulouse.Your Guitar Instructor will be Madison Toulouse.Your Ukulele Instructor will be Madison Toulouse.Your Violin Instructor will be Erin Johnstone.Your Drum Instructor will be Nicholas Baddeley.July and August 2019 Summer Private Lessons*How long would the student like their lesson to be? Your total lesson amount for summer lessons will be sent to you before your first lesson and due the first lesson. 30 minutes ($20 per half hour)45 minutes ($30.00 per 45 mins)60 minutes ($40.00 an hour)Summer Private LessonsUnless otherwise stated students will maintain their current timeslot (you may be contacted to change your timeslot to accommodate your teachers' summer teaching schedule). Please list below the weeks that you would like to schedule lessons. Although you are not charged for time off during the summer, all scheduled lessons are subject to the studio policy. We will let you know before the first summer lesson of any vacation time your teacher will be taking off and adjust your payment accordingly. Payment for all summer lessons is due at your first scheduled lesson. Summer CampCost is $150 per week per child or $35 per morning. Payment is due upon registration. If you would like register your child for a morning please list the dates below.Summer Ukulele Group Classes Cost is $105. Payment is due at the first lesson. Classes are on Mondays from 1:00 till 1:45pm beginning July 8th and finishing on Aug 26th.Duration of Lesson Registration Sep 2019 to May 2020*How long would the student like their lesson to be? A pro-rated monthly lesson fee amount will be sent to you with your confirmation. 30 minutes (monthly cheques at $23 per half hour)30 minutes (quarterly cheques at $21 per half hour)45 minutes (monthly cheques at $34.50 per 45 mins)45 minutes (quarterly cheques at $31.50 per 45 mins)60 minutes (monthly cheques at $46 per hour lesson)60 minutes (quarterly cheques at $42 an hour)Re-Registration Sep 2019 to May 2020Would you like to keep your current timeslot, if not please list any availability or requests. Is there anything else you would like to tell us?Notes on our pricing: Post-dated cheques are due at the first lesson. You will be sent a pro-rated amount for the remaining lessons in the teaching year based on the payment interval selected. Please make cheques payable to Renee's Music Studio. Payment for the month in which a student discontinues lessons will not be refunded. We will do our best to accommodate your choice of day of the week but it will be dependent upon availability. Please note: There is a $20 fee for bounced cheques or NSF. Part 4 - Studio/Client Policy Agreement Music Studio Policy Last Revised: June 9, 2019 A weekly time slot is scheduled and set aside specifically for you. As with other extra-curricular activities, absences and/or missed lessons will not be rescheduled or refunded. If any of our teachers need to alter a time slot or if lessons and classes are cancelled due to inclement weather the lessons or classes will be rescheduled at a mutually agreeable time. Renée's Music Studio will only be responsible to communicate registration and studio event information to the individual registering themselves or their child with our studio. Given the possibility of changing and varied family dynamics and our respect for privacy, it will be the responsibility of the registrant to communicate student information with any other parties either legally required of or at the discretion of the registrant. Thank you in advance for your understanding of the studio policy. Please contact us if you have any questions. Please note: There is a $20 fee for bounced cheques or NSF. Payment for the month in which a student discontinues lessons will not be refunded. Please know that you are booking a timeslot in your teachers schedule for the teaching session from September 2019 to May 2020. If you wish to discontinue lessons before the end of May 2020, it is imperative that you notify the studio as soon as possible. Non-attendance to lessons does not constitute withdrawal from or discontinuation of lessons, regardless of whether that falls at the end of a month or 3-month payment interval, the studio must be notified. Please note: There is a $20 fee for bounced cheques or NSF. Payment for the month in which a student discontinues lessons will not be refunded.Policy Confirmation* By checking this box I understand and agree to the Studio Policy below. I am aware that policies may change and that I will be notified by email.