Welcome to the online registration process!

This registration form secures your lesson time. If you fill the form out electronically, the registration fee of $35 will be waived. Please review your information and be sure to read the terms & enrollment. Feel free to contact us with any questions you may have.

Once you submit your information, you will be able to download your digitally signed registration form. Thank you!

Here You Can:

  • Register for Lessons
  • Secure Lesson Time
  • Sign & Print Registration
  • Download as PDF
  • Student Information


    Parent/Guardian Contact
    Billing Information All Data is Encrypted and Not Stored On Our Servers. You must download after completion.

     

    (Last 3 digits on back of card)

    Please Note:

    There is a $35.00 Registration Fee
    **Waived when completing this electronic form

    You are not charged at this time

    We verify all registrations before charging any
    amounts and will send you an invoice via email.

    F.A.Q Why is this needed?

    We require a credit card on file as a safeguard for our teachers and their time as well as your scheduled time slot. There are only two instances where a card would be charged

    1) Late/Missing Payments

    2) No notice for discontinuing lessons

    This is explained in more detail in the Terms of Enrollment & Withdrawal Policy. Please review it for more information. Click to view.

     


    BY SIGNING THIS REGISTRATION FORM, I ACKNOWLEDGE THAT I HAVE READ AND AGREE TO THE TERMS OF ENROLLMENT AND THE WITHDRAWAL & REFUND POLICY (page 2 of registration and online at www.elizabethfarrellmusic.com) AND HEREBY AUTHORIZE THE ABOVE NAMED STUDENT(S) TO ENROLL AND GUARANTEE ALL PAYMENTS TO Elizabeth Farrell Music . As stated in the Terms of Enrollment, this credit card will only be used if you elect to enroll in Automatic Monthly Payments or your monthly tuition is more than 7 days late or you have failed to show up to lessons without notice to the instructor.