CSM Private Lesson Registration Copy

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University of Montevallo's Community School of Music Lesson Registration

Are you registering more then one CSM student from the same household?

If you are registering multiple students from the same household, please register them separately.
A family discount is available. Please contact the Director at umcsm@montevallo.edu or call 665-6678 for pricing.

Student's Last Name

Student's First Name

Student's Age:

Student's Birth Date

Current School

Parent/Guardian's Last Name:

Parent/Guardian's First Name:

Preferred Phone:

Alternate Phone:

Email:

Address:

City:

State:

Zip Code:

Instrument:

Preferred Instructor (if known):

Choose a Semester:

How many lessons do you want to register for this semester?
*All prices include the $30 registration fee.

Length of Lessons:

15 Lessons - $450*-30 mins/$900*-60 mins (Will begin on the first week of the semester)

10 Lessons - $300*-30 mins/$600*-60 mins (Will begin 4 weeks after the start of the semester)

6 Lessons - $180*-30 mins/$360*-60 mins (Will begin roughly 8 weeks after the start of the semester)

30 Minute Lessons

60 Minute Lessons

- Payment will be collected once your lessons are scheduled.
- Payments made after the due date will result in a $25.00 late fee.
- Learn more about payments options HERE.

Does The student have any conditions (including mental/physical challenges, learning disabilities, or medical issues) that CSM and the instructor should be aware of?

Medical Conditions description

CSM loves taking photos! By selecting 'yes' you are granting CSM permission to take photos of your child or you as an adult student that may be used on social media and marketing materials. Please see link below for link to the full UM Photo Release.

University of Montevallo Photo Release Form

I understand that in registering for study in the Community School of Music at the University of Montevallo I am obligated for the entire duration of the semester and tuition must be paid according to the payment plans. I acknowledge that I have read and understand the lesson policies given to me at time of registration and will adhere to all Community School of Music policies.

CSM Policies

I Agree

If registering more than one student, open a new window/tab and complete a new registration form for each additional student. Please, do not use the back arrow button in your browser.'

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