Registration | Music With MrPhil

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Thank you for choosing to register your student with Music with MrPhil. Please take a moment and read over the 2025 - 2026's Terms & Conditions*, and then acknowledge below they have been read and understood. As always, please let me know if you have any questions, or if anything is unclear; everything can be a conversation.

First Name*

Last Name*

Email*

Phone Number*

How many students will be taking lessons?*

Name(s), age(s) & birthday(s) of each child (*if you did this for the 2024-2025 Term just type 'Same').*

Favorite color and snack of each student.*

Do any of the students have food allergies? If so, please list along with names.*

In-Home option: I understand that a tiered-mileage fee will be applied for In-Home lessons.*

Yes

I'd like to discuss further

N/A - My student will be having lessons at MrPhil's.

Piano Schedule: My student and I are willing to commit to lessons until May 23, 2026.*

Yes

No, I'd like to discuss further

Invoices: I have read and understand that Invoices will be sent out up to 2 weeks prior to the start of the next month and that payment is due on or before the 1st of the month. I also acknowledge that a $25 Late Fee will be applied to late payments.*

Yes

No, I'd like to discuss further

Payment Schedule: What payment cadence works best for you for the 2025-2026 Term?*

Monthly - 9 equal payments

Bi-Yearly - 2 equal payments

Year in Full - 1 payment

Payment Options: How would you like to pay for lessons for the 2025-2026 Term?*

Card (MC, Visa, Debit)

E-Transfer

Cash

I have read and understand the Missed Lesson and Cancellation policy.*

Yes

No, I'd like to discuss further

Terminating Lessons: I understand that I must provide at least 30 days' notice should a parent/student wish to terminate lessons prior to May 23, 2026.*

Yes

No, I'd like to discuss further

I have read, understand, and accept the Terms & Conditions for the 2025-2026 Term.*

Yes

Yes, but I have questions

No, I'd like to discuss further

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