Continuing Student Registration Form – FALL 2021 Please visit www.moonschoolofmusic.com/policies and review all of our policies thoroughly before submitting the form. Please enable JavaScript in your browser to complete this form.Student Name *FirstLastEmail *Instrument of Study *PianoViolinCelloVoiceGuitarDrumsPlease choose all that apply.Which method of instruction are you looking for? *In-Person LessonsOnline LessonsPlease note that all in-person lessons will resume as online lessons should the health guidelines limit in-person interaction.Instructor *Ms. Grace Shim [Piano]Mr. Bienvenido Dinzey [Piano]Ms. Zoe Xu [Piano] Mrs. Jenny Kim [Piano]Mr. Luke Ratcliffe [Piano]Mrs. Page Moon [Piano]Mr. Joseph Moon [Piano]Mr. Kelton Norris [Drums]Mr. Matthew Gardner [Violin]Mr. Jerry Tong [Violin]Ms. Simone Brown [Voice]Ms. Lexie Rains [Voice]Ms. Julie Sonne [Cello]Mr. Isaac Brady [Guitar]Mr. Rob Uptmor [Guitar]Mr. James Weiss [Guitar]Current Lesson Day/Time *(example: Friday 3pm-4pm)Current Lesson Length *Private Lesson - 30 minutesPrivate Lesson - 45 minutesPrivate Lesson - 60 minutes Semi-Private Lesson - 45 minutesSemi-Private Lesson - 60 minutesGroup Lesson - 45 minutesPlease choose all that apply.Lesson Schedule *Continue with my current time slot for Fall 2021Request a new lesson day/time/length for Fall 2021*Schedule change will be granted based on availability of instructors and may result in change of teacher. New lesson time will be notified via email when finalized.Request New Lesson length (Upon Teacher Recommendation)Private Lesson - 30 minutesPrivate Lesson - 45 minutesPrivate Lesson - 60 minutesSemi-Private Lesson - 45 minutesSemi-Private Lesson - 60 minutesPlease check all that applyRequest New Day/Time (First Choice)(example: Monday 3pm-6pm)Request New Day/Time (Second Choice)(example: Monday 3pm-6pm)Tuition Payment Option *Full TuitionInstallmentPrivate Lesson Full Tuition Payment Option30 Minute Full Tuition - $72030 Minute Full (Second Instrument/Sibling) - $68445 Minute Full Tuition - $104045 Minute Full Tuition (Second Instrument/Sibling) - $98860 Minute Full Tuition - $136060 Minute Full (Second Instrument/Sibling) - $1292Private Lesson Installment Tuition Payment Option 30 Minute Installment - $18030 Minute Installment (Second Instrument/Sibling) - $17145 Minute Installment - $26045 Minute Installment (Second Instrument/Sibling) - $24760 Minute Installment - $34060 Minute Installment (Second Instrument/Sibling) - $323For installments, 1st payment is due at early registration deadline. 2nd/3rd/4th installment is due first of Oct/Nov/Dec.Semi-Private Lesson Full Tuition Payment Option45 Minute Full Tuition - $64045 Minute Full (Second Instrument/Sibling) - $60860 Minute Full Tuition - $88060 Minute Full (Second Instrument/Sibling) - $836For installments, 1st payment is due at early registration deadline. 2nd/3rd/4th installment is due first of Oct/Nov/Dec.Semi-Private Lesson Installment Tuition Payment Option 45 Minute Installment - $16045 Minute Installment (Second Instrument/Sibling) - $15260 Minute Installment - $22060 Minute Installment (Second Instrument/Sibling) - $209For installments, 1st payment is due at early registration deadline. 2nd/3rd/4th installment is due first of Oct/Nov/Dec.Group Lesson Full Tuition Payment Option45 Minute Full Tuition - $56045 Minute Full (Second Instrument/Sibling) - $532For installments, 1st payment is due at early registration deadline. 2nd/3rd/4th installment is due first of Oct/Nov/Dec.Group Lesson Installment Tuition Payment Option45 Minute Installment - $14045 Minute Installment (Second Instrument/Sibling) - $133For installments, 1st payment is due at early registration deadline. 2nd/3rd/4th installment is due first of Oct/Nov/Dec.Payment InformationPayment Type *VisaMasterCardDiscoverAmerican ExpressCardholder Name *FirstLastCard Number *Expiration Date *(ex. 03/24)CVV *Zip Code *I have read the policies of Moon School of Music and agree to abide by all policies of Moon School of Music. *Yes, I agree.Submit
