We appreciate your interest in music lessons!  Piano lessons are available to Fishback Creek students after school. To enroll, please complete and submit this form online.  We will contact you to schedule the first lesson.  For more information, please contact Barb at 317-293-6683 or schools@schoolofmusic.com.

Weekly private, 30 minute lessons are $24 and are billed monthly (according to the school calendar)

Thank you

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Parent(s)	*
Home phone	*
2nd phone or pager	*
work phone
Email	*
Address	*
City	*
State	*
Zip Code	*
Preferred method of communication?		phone email
Scheduling requirements (we cannot guarantee availability, but will try to accommodate your criteria)
Would you prefer to receive your invoice via email?		Yes No
If yes, please provide the destination email address for your invoice:
Please list any medical conditions of which you would like your teacher to be aware
First student's name
Age and Grade
Previous experience, if any
2nd student's name
Age and Grade
Previous experience, if any
3rd student's name
Age and Grade
Previous experience, if any
Comments (please list any relevant, additional comments here):
Our Policy: There are no credits for student absences if the lesson is available. If the teacher cancels, we will provide a make-up lesson or a credit to your account. Lessons are billed in advance each month, according to the school calendar. By submitting this form you agree to allow us to provide lessons to your child or children. Payment is due by the first of the month in which lesons occur. Outstanding balances after the 12th of each month will be assessed a $10 late fee. By submitting this application you agree that you will pay all collection fees, late fees, returned check fees, and court costs incurred in the follection of all sums due. Students who arrive late for a session may have less than a full lesson. Students are expected to have their books with them for every lesson!
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