Chopin Academy of Music - 2024-25 Family Registration

2024-25 Family Registration

Complete the following to register for 2024-25 lessons at the Chopin Academy of Music if you are:

* the responsible legal adult parent or guardian member of a family of one or more dependent students aged 18 years or less

If you are a responsible adult person enrolling children and also take lessons yourself, you must list yourself a second time additionally as a student.

If you are a legal adult student without dependents who is taking lessons, do not fill out this form. Write to Chopin Academy administration and ask to be sent the Adult Independent Student Registration form. The terms and conditions are contained in the 2024-25 CAM Agreement, which may be downloaded and retained in full here: https://www.chopinacademy.com/wp-content/uploads/2024/07/2024-25-CAM-Agreement.pdf. A copy of the 2024-25 CAM Calendar may be downloaded and retained here: https://www.chopinacademy.com/wp-content/uploads/2024/07/2024-25-CAM-Calendar.pdf

Further details may be added to your portal profile after submitting. This form may only be completed by a legal adult. Be sure to add your child below by clicking the "Add Field for Additional Student" option above the "Submit" button. Lessons and billing cannot be administered until after a child student is in the system.

Legal Guardian First Name (required)

Legal Guardian Last Name (required)

Legal Guardian Email (required)

Confirm Email (required)

Additional Email

Home Phone

Mobile Phone (required)

Address (required)

Address Line 2

City (required)

State (required)

Zip (required)

Notes

Payment Frequency (required)

Payment Method (required)

Registration Form and Acceptance of the 2024-25 Chopin Academy of Music Agreement

The form must be filled out by a parent, legal guardian, or legal adult financially responsible student of 18 or more years of age. Each entered name represents a wholly separate and individual entry of registration as it pertains to the provisions of the 2024-25 CAM Agreement.

By clicking to agree, you affirm that you are of legal adult age, the registered legal adult student named above, or the parent or legal guardian of the registered dependent student named above. You agree to accept all terms and conditions of the 2024-25 Chopin Academy of Music Agreement (hereinafter referred to as “Agreement”). The full Agreement may be downloaded and retained in full here: https://www.chopinacademy.com/wp-content/uploads/2024/07/2024-25-CAM-Agreement.pdf

Furthermore, the responsible adult parent, guardian, or independent adult student agrees to the following:

1) This Agreement supersedes any prior written or oral Agreement, contains the entire Agreement, and there are no other promises or conditions in any other Agreement whether oral or written;
2) This Agreement may be modified or amended by the CAM;
3) In the event that the CAM requires the services of an attorney in connection with enforcement of this Agreement, or in the event that litigation is commenced, the prevailing party shall be entitled to reasonable attorney's fees;
4) If any provisions of this Agreement are held to be invalid or unenforceable, the remaining provisions shall continue to be valid and enforceable. If a court finds that any provision of this Agreement is invalid or unenforceable, but that by limiting such provision it would become valid and enforceable, then such provision shall be deemed to be written, construed, and enforced as so limited;
5) Failure of the CAM to enforce any provision of this Agreement shall not be construed as a waiver or limitation of the CAM's rights to subsequently enforce this Agreement;
6) This Agreement shall be governed by the laws of the state of Washington and venue shall lie in King County; and
7) This Agreement may be executed in any number of counterparts, all of which shall be deemed to be an original and constitute a single Agreement. An electronic transmission bearing any person's acceptance of the terms and conditions shall have the same force and effect as the original of this Agreement bearing such person's signature.

I Agree to the Terms of the 2024-25 CAM Agreement (required)

Student

First Name (required)

Last Name (required)

Introductory Period, Full Registration

Email (optional - helps deliver lesson notes)

Confirm Email

Mobile Phone (optional)

Birth Date (required)

Proposed Start Date (required)

Exam Track? (required) ("Yes" disabled after September 30) No

Instrument Selection (required)

Instrument 1 Instructor (required)

Desired Lesson Length (in minutes) (required)

Instrument 2 Selection (if applicable)

Instrument 2 Instructor (if applicable)

Instrument 2 - Durations (if applicable)

Notes (optional)

Remove

Add Fields for Additional Student