FCM Student Application Form-SCM

FCM Student Application Form

Student Name(s):

Parent Name(s) (if applicable):

Student's Age(s):

Phone Number:

Emergency Contact Number:

Email:

Billing Address:

Instrument:

Piano or Harpsichord

Guitar (Classical or Modern)

Vocals (Singing)

Music Production (Audio Engineering, Multimedia, Live Audio, or Music Business)

Violin or Viola

Cello (wait-list)

Harp (wait-list)

Please describe any prior musical experience or music lesson history:

Lesson Type:

In-Person

Virtual / Online

Hybrid of In-Person / Virtual

Desired Days of Availability:

Sunday

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

General Times of Availability

Mornings

Mid-Day

Afternoon

Evening

Specific Time Restrictions:

Course Selection (All Include 2 Recitals):

Desired Start Date

Desired Lesson Duration:

Tuition Installment Plan:

Discounted Annual Plan/12 Months/45 Lessons

Academic Plan/10 Months/36 Lessons

Custom

Do you authorize us to publish any photographs and/or audio and video recordings of you/your child’s performances?

Yes

I acknowledge that I must give a minimum of 24 hours notice when cancelling or rescheduling a lesson, otherwise the lesson will count as fulfilled.

I acknowledge that my tuition total is paid in equal installments each month for a total number of lessons (36 or 45 Lessons). The installment amount does not change despite absences or vacations since those missed lessons aren't counted.

I acknowledge that I must give 1-month's notice before terminating lessons or I will be charged accordingly.

I acknowledge that if enrolled with the Academic Plan, I have until the end of the academic year (June 15) to complete all my allotted lessons; if enrolled in the Annual Plan, I have until Aug 31 to complete all my lessons.

I agree to the terms & conditions. I also agree to read FCM policies and FAQs on our website.

How did you hear about us?

Any additional comments or questions:

If you encounter issues trying to submit this form, please email us directly at music@fcmusicarts.com or call us at 571-659-1954