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: The tuition fee is due on the 1st day of each month. We will set up auto-pay with your credit card on file. If there is an issue with the payment being obtained, then a new card must be provided by the 5th of the month. If the payment is still not obtained by the 5th, then we reserve the right to add a Late Fee of $35 to your outstanding tuition for that month. We take vacation days following the Fulton County School Calendar (not all days): Thanksgiving week, Winter break - December/January, and Spring break. We maintain a flat fee throughout the year, meaning there is no additional charge for months with 5 lessons, nor pro-rated tuition during the vacation months. If cancellation of the lessons becomes necessary, we must be notified 30 days before the day you would like to end the lessons. You are responsible for the tuition through the end of the 30 days. 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 2024-2025 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