What class are you registering for?
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Harmony Road Book 1, Wed. 11:00am 8/30
Harmony Road Book 1, Wed. 3:45pm 8/30
Harmony Road Book 1, Sat. 11:15am 8/26
Harmony Road Book 2, time TBA
Keyboard Prep, Thurs. 6:15pm 8/31
The Music in Me, Tues. 2:45am 8/29
The Music in Me, Wed. 10:00am 8/30
The Music in Me, Sat. 10:15am 8/26
Toddler Tunes, Thurs. 9:30am 8/31
Toddler Tunes, Sat. 9:30am 8/26
Young Musician book 1, Wed. 4:45pm
Student Name
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First Name
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Student birthdate
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Parent/Guardian
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First Name
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Parent/Guardian
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Best number to contact
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Address
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Address 1
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Please describe the student's musical experience, if any.
Please specify any special needs or pertinent information that would be helpful to teacher, including: students' pronouns, allergies, health conditions/injuries, Spanish Immersion, living in multiple households, home-school, alternative learning styles (dyslexia, autism), pronouns, accessibility, etc.
In case of emergency, please specify additional emergency contact.
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First Name
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Phone
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Relationship
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If someone other than you be bringing student(s) to lessons, such as a babysitter or grandparent, please specify. Include relationship and phone number, if desired.
Promo Code
Please review our school policies and procedures. By selecting "I Agree" you acknowledge these policies and agree to comply with them and enter into contract with Heart Beats Music School.
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You may opt to pay your semester tuition in full, or pay in 4 monthly installments. If you choose the latter, you agree to enroll in automatic billing for your remaining tuition payments. By selecting "I Agree," you acknowledge this policy and agree to automatic billing for any installment payments.
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How did you hear about us?
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General Liability Waiver: By selecting "I Agree," the student/guardian agrees that neither Heart Beats Music School, its instructor(s), nor the proprietors of lesson and recital locations shall be liable for any and all injuries, loss, and other damages that may be suffered by reason of voluntary participation in class activities.
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Covid-19 Assumption of Risk & Waiver of Liability: Heart Beats Music School cannot prevent you or your child(ren) from becoming exposed to, contracting, or spreading COVID-19 while utilizing Heart Beats’ services or premises. It is not possible to prevent against the presence of the disease. Therefore, if you choose to utilize Heart Beats’ services and/or enter onto Heart Beats’ premises you may be exposing yourself to and/or increasing your risk of contracting or spreading COVID-19. In registering for classes or lessons, you agree to the following statement: I have read and understood the above warning concerning COVID-19. I hereby choose to accept the risk of contracting COVID-19 for myself and/or my children in order to utilize Heart Beats Music School’s services and enter Heart Beats’ premises. These services are of such value to me and/or to my children, that I accept the risk of being exposed to, contracting, and/or spreading COVID-19 in order to utilize Heart Beats’ services and premises in person. I hereby waive my right to bring suit against Heart Beats Music School and its owners, teachers, or other representatives in connection with exposure, infection, and/or spread of COVID-19 related to utilizing Heart Beats’ services and premises. I understand that this waiver means I give up my right to bring any claims including for personal injuries, death, disease or property losses, or any other loss, including but not limited to claims of negligence and give up any claim I may have to seek damages, whether known or unknown, foreseen or unforeseen.
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