start your musical journey Learn How To Play Guitar, Drums, Bass, Piano and Sing with Music Lessons at Freedom Music Academy! New Student Enrollment FormHow did you hear about Freedom Music Academy?Today's Date *Student Name *Student Birthdate *Male / Female *MaleFemaleInstrument *PianoGuitarDrumsBass GuitarVoice / SingingAdditional Student NameStudent BirthdateMale / FemaleMaleFemaleInstrumentPianoGuitarDrumsBass GuitarVoice / SingingParent/Guardian Name *Home Address *Apartment, suite, etcCity *State *ZIP / Postal CodePrimary Contact Phone Number *This number will receive lesson reminders and scheduling updatesEmail Address *Emergency Contact InformationEmergency Contact #1 *Relationship *Home Phone *Cell PhoneWork PhoneEmergency Contact #2 *Relationship *Home Phone *Cell PhoneWork PhonePhoto & Audio/Video Recording WaiverFreedom Music Academy often records videos and takes photographs of student’s lessons and/or performances for the purposes of teaching, progress reports, and/or advertisement on F.M.A. websites or social media accounts. We also record and photograph recitals and post on YouTube and websites.Radio *Yes, I give permission for the image, audio and or video recording of my child, to be used by the Freedom Music Academy LLCNO, I do NOT give permission for the image, audio and or video recording of my child, to be used by the Freedom Music Academy LLCSign here after completing the Image & Audio/Video Recording Waiver *Start signing your signature hereYour browser does not support e-Signature field.TUITIONAll payments are processed by pre-authorized credit cards or auto-draft from checking accounts on the first of the month. Private lessons are $125 per month for weekly 30-minute sessions at our location or $225 per month for weekly 60-minute sessions. There is an annual $25 registration fee due at the time of registration. Tuition is never prorated for missed lessons. Tuition does not include any retail teaching materials such as books or instruments.Click to indicate that you understand and accept.CANCELLATIONS AND MAKEUPS For any lessons missed by a teacher, the Academy will attempt to provide a substitute teacher. If a substitute teacher is unavailable, a private makeup lesson with the teacher will be scheduled promptly. In the event of school closing due to severe weather, we will reschedule private lessons during a holiday break. For any lesson missed by a student, the Academy holds one hour group make up classes every weekend. The classes are age and level appropriate and are held between the hours of 10 am and 6 pm. To sign up for a makeup class, contact the office and not the instructor for a date and time. If the student does not have an instrument at home to use during the lesson, the lesson must be rescheduled for a group makeup class at the Academy.Click to indicate that you understand and accept.DISCONTINUING LESSONSEvery student here is on a month-to-month basis. To discontinue lessons and to discontinue charges to your account, fill out the withdrawal form before the 15th of your last month. We do not prorate tuition for the last month’s lessons. Students will be responsible for their last month’s tuition whether or not they attend lessons.Click to indicate that you understand and accept.AVERAGE OF FOUR LESSONS PER MONTHMonthly tuition is based on a 48 week year. We are closed for four weeks for holidays. In the long months, you will get five months, short months such as November and December, you will get three lessons, and most months you will get four lessons. The tuition is the SAME each month; i.e. we don’t charge you more when you have five lessons, and we don’t charge you less when you have three lessons in a month. This makes everyone’s accounting easier.Click to indicate that you understand and accept.SUMMER VACATIONThe FMA operates year-round and does not close for the summer. We are happy to offer unlimited makeups for our students, and they are held every Saturday. If you are taking a month off for vacation and want to resume the next month, your payment is still due on the first of the month to reserve your lesson space. The lessons for the month you miss can be made up when you return from vacation.Click to indicate that you understand and accept.STUDENT CAREThe school is not responsible for providing before or after care for students. Parents with children under the age of eight must remain in the school lobby during the classes. Students are not to be left at the school for excessive time periods before or after their lessons.Click to indicate that you understand and accept.OPEN DOOR POLICYParents are always allowed to sit in on lessons. We have an open-door policy for lessons.Click to indicate that you understand and accept.INJURIESParents, legal guardians of minors, students and adult students waive the right to any legal action for any injury sustained on school property resulting from normal lesson activity or any other activity conducted by the students or their siblings before, during, or after lesson time, including hearing loss or hearing damage. The Freedom Music Academy is not responsible for any damage done to vehicles or items stolen from vehicles.Click to indicate that you understand and accept.STUDENT PICK UPChildren must wait for their parents to pick them up inside the Academy. Please do not ask them to meet you elsewhere. Students are not to be dropped off on the street or curb. The Academy assumes no responsibility for children who leave unaccompanied.Click to indicate that you understand and accept.VIRTUAL LESSONSIf you choose to attend your lesson virtually, please note that your lesson day and time will remain the same. The academy is not responsible for any student connection issues resulting in the loss of lesson time. Please give as much notice as possible that you will be attending the lesson virtually. Know that it can take up to 10 minutes to get the virtual link sent to you. Reach out to the academy immediately with any complications during your scheduled lesson time.Click to indicate that you understand and accept.Sign here that you have read, understand, and agree to abide by these policies: *Start signing your signature hereYour browser does not support e-Signature field.Authorization Agreement for PaymentPayments are recurring and are deducted on the first of each month until a withdrawal form is submitted to the Academy office. Withdrawals are due by the 15th of your final month to prevent charges on the following month.(I/We) do hereby authorize the FREEDOM MUSIC ACADEMY, LLC, hereinafter named the COMPANY, to initiate recurring (debit or credit) entries to (my/our) (Credit Card Account) as indicated and named below as the depository financial institutions, hereafter named FINANCIAL INSTITUTION. (I/We) acknowledge that the origination of ACH transactions to (my/our) account must comply with the provisions of U.S. law. Furthermore, if any such debit(s) should be returned NSF, (I/we) authorize the COMPANY to collect such debit(s) by electronic debit and subsequently collect a returned debit NSF fee of $25.00 per item by electronic debit from my account identified below, and authorize all of the above as evidenced by my signature below. This authorization is to remain in full force and effect until the COMPANY has received written notification from me (or either of us) of its termination in such time and in such manner as to afford the COMPANY and FINANCIAL INSTITUTION a reasonable opportunity to act on it. I have read and understand the FMA policies and procedures and payment authorization agreement and agree to abide by them. Sign here after reading policies, payment authorization and waivers. *Start signing your signature hereYour browser does not support e-Signature field.Send Message