Arts and Music Center logo Arts and Music Center of Everett, Washington

Enroll for Classes

Student Information

Student's Name*
Student's Birthdate*
Status
Allergies/Medical Concerns

Guardian Information

Guardian Name(s)*
Address*
City*
State*
Zip*
Phone*
Mobile Phone >
Work/Emergency Phone
Email*
How did you learn about our program?

Day/Time Preference

1st choice
2nd choice
3rd choice

Class Options

Annual Materials Fee

The annual materials fee is $25 per student

Private Piano (34 lessons)

45-minute lessons + additional materials + musiclearningcommunity.com
$1428.00 Academic year paid in full
$142.80 Ten monthly payments

Partner Piano (34 lessons)

35-minute lessons + 15-minutes of in-class computer theory + additional materials
$1224.00 Academic year paid in full
$122.40 Ten monthly payments

Summer Piano

45-minute lessons + additional materials
$42.00 per lesson (you may choose up to 6 lessons)
I will pay by:

* = required field

Signature

I am enrolling my child at Arts & Music Center and understand that my non-refundable payment is due with registration. Furthermore, I release any and all rights and claims for damages against Arts & Music Center and its Staff in the unlikely event of injury sustained by any member of my family during the course of, or as a result of, this musical activity, before, during, or after lesson time.

In accordance with the Electronic Signatures in Global and International Commerce Act of 2000, electronic contracts and signatures are as valid as paper contracts in all states, regardless of where the parties live or where the contract is executed. You have the right to request a paper New Customer Registration sheet and Policies and Procedures sheet from us. Regardless of whether you make such a request, your electronic signature on this registration form shall remain legally valid and binding.

Parent/Guardian Signature*

pdf file Download a Print-And-Mail Enrollment Form