Website: www.musik21.com Email: musik21@mindspring.com Tel: 404.245.6133

WELCOME TO MUSIK21

How did you hear about Musik21?

We offer and highly encourage our students to participate in recitals, competitions, festivals, and master classes organized by state, national and international organizations! We also offer recitals at least three times a year. Please inquire with your teacher about all details. We are very excited to be a part of your student’s musical experiences!

FLAT RATE FEES:

Tuition is due on the 1st day of each month.

The first month’s tuition will be charged automatically to the credit card on file.
Starting from the second month, you may choose one of the following payment methods: - please choose
- Automatic credit card payment (subject to a 5% processing fee)
- Zelle
- Cash
- Check

If payment is not received by the 5th of the month, we reserve the right to:

- Add a $35 late fee to your outstanding tuition.
- Charge the tuition and late fee to the credit card on file.

We must be notified in writing only sent to: musik21@mindspring.com

MAKE UP LESSONS

Students are allowed to make up one lesson in the Fall semester (August- December) and one in the Spring semester (January-June) for excused absences (sickness, emergency situations), 24 hours’ notice accepted ONLY.

Notice: No credits will be given for lessons missed.

Lessons missed due to the teacher’s absence will be rescheduled.
All make up lessons will have to be completed by the end of each semester.

Would you allow us to publish your child’s pictures or recital videos: on Musik21 website, YouTube, Facebook or any other promotional materials?

YesNo

Student will not be supervised outside the classroom, parents or guardians are responsible for picking student promptly at the end of the lesson. Studio will not be held responsible for student’s welfare. I agree to waive liability and release any and all claims against Musik21, its owners and teachers for injuries and damages suffered myself or my children 18 or under, for whom I am signing, during programs at Musik21, or while at Musik21 for any other reason, whether in a class or not.

I fully accept and assume all risks and all responsibility for all losses and damages as a result of my participation and any children’s participation in these programs.

First name

Last name

Birth date

Current age

Grade in 2025-2026 school year

Any medical issues/allergies we should know about?

Parent or guardian information:

First name

Last name

Address Street

City/State/Zip

Phone

Cell Phone

E-mail address

Lessons requested at Musik21:

Instrument:

Teacher:

Fee:

2nd Instrument:

2nd Teacher:

2nd Fee:

Date of the first lesson

Registration fee $35

Card holder name:

Credit cart number

CVV

ZIP / POSTAL CODE

Expiration date

Billing Address

The student must be registered before the first lesson, otherwise the lessons will not be scheduled. To complete the registration the 1st payment must be done at least 48 hours before the first lesson – credit card payments only.

Parent signature

Date