RED Registration and Scheduling Form (Bellefontaine studio) Step 1 of 520%Student Name* First Last Student Email (Optional) Student Phone (Optional)HiddenStudent's Date of Birth Month Day YearGrade/Year Level:*Parent/Guardian (1) Name* First Last Parent/Guardian (1) Email* Enter Email Confirm Email Parent/Guardian (1) Phone*Parent/Guardian (2) Name First Last Parent/Guardian (2) Email Enter Email Confirm Email Parent/Guardian (2) PhoneAddress* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country How did you find out about us?*Friend's recommendationGoogle searchFacebookInstagramFlyerFacebook adWord of mouthOther (please specify)Friend's NamePlease specify:*Please list any additional emergency contact information or instructions. Or enter "None."*Any allergies, disabilities, information in general that we should be aware of? Or enter "None."* Save and Continue LaterDisplay class options by checking the boxes below of each type of lesson you are interested in. Private lessons Group ClassesPrivate Lesson Options:Class NameAgesDescriptionScheduleCostPrivate Piano LessonsVariousPersonalized, one-on-one private lessons catered to each student's needs.Based on student and teacher availability$28 per lesson, billed monthly (Junior lessons: $20 per lesson, billed monthly)Private Voice LessonsVariousPersonalized, one-on-one private lessons catered to each student's needs.Based on student and teacher availability$28 per lesson, billed monthly (Junior lessons: $20 per lesson, billed monthly)Private Guitar LessonsVariousPersonalized, one-on-one private lessons catered to each student's needs.Based on student and teacher availability$28 per lesson, billed monthly (Junior lessons: $20 per lesson, billed monthly)Private Ukulele LessonsVariousPersonalized, one-on-one private lessons catered to each student's needs.Based on student and teacher availability$28 per lesson, billed monthly (Junior lessons: $20 per lesson, billed monthly)Private Violin LessonsVariousPersonalized, one-on-one private lessons catered to each student's needs.Based on student and teacher availability$28 per lesson, billed monthly (Junior lessons: $20 per lesson, billed monthly)Private Viola LessonsVariousPersonalized, one-on-one private lessons catered to each student's needs.Based on student and teacher availability$28 per lesson, billed monthly (Junior lessons: $20 per lesson, billed monthly)Private Cello LessonsVariousPersonalized, one-on-one private lessons catered to each student's needs.Based on student and teacher availability$28 per lesson, billed monthly (Junior lessons: $20 per lesson, billed monthly) Group Class Options:These classes meet weekly throughout the summer!Schedule: Sunday May 30th-Saturday August 28thNo classes June 13-19th or August 15-21Class NameAgesDescriptionScheduleCostRed Tots6mos to 5 years oldMusic classes for toddlers! The class focuses on pre-math skills, neuropeptide stimulation, matching pitch, exploring instruments, basic music skills, social development, emotional development, and creativity.Mondays 6:00 to 6:30 PM$50/month. ($40/month for families also involved in private lessons or MOPS members)Mini-StageWorks (Musical Theater Performance Class)Grades K through 3Centered around providing fundamental performance skills, Mini StageWorks is a fun and educational class that combines singing, acting, and dancing for grades 1-3.Tuesdays 4:15 to 5:00 PM$65/month ($40/month for those in private lessons)StageWorks (Musical Theater Performance Class)Grades 4-8Students are cast into different roles from various musical scenes with a free performance at the end of the summer session. The class features training for vocals, acting, and choreography.Tuesdays 5:15 PM to 6:00 PM$65/month ($40/month for those in private lessons)Broadway Program (Musical Theater Performance Class)Grades 9 to college gradsAn advanced, fast-paced class on acting, theater and audition skills with our teacher, Regan Goins. This workshop will combine helpful tips and tricks as well as an opportunity to perform and get direct feedback.Tuesdays 6:00 - 6:45 PM$65/month ($40/month for those in private lessons)Show Choir Prep ClassGrades 5 to 8Learn the fundamentals needed to have a confident show choir audition! Singing, audition skills, and basic choreography included!Tuesdays 6:45 to 7:30 PM$65/month ($40/month for those in private lessons) Section 3 - Class EnrollmentPlease enroll my student for (check all that apply):* Private Lessons Piano Private Lessons Voice Private Lessons Guitar Private Lessons Ukulele Private Lessons Violin Private Lessons Viola Private Lessons Cello Private Lessons Drums (Snare) Red Tots Broadway Class Stageworks Mini-Stageworks Show Choir Prep ClassLesson Duration* 30-minute lessons Junior lessons (20 minutes) 1-hour lessonsWe recommend 30 minute lessons for private lessons, 20 minutes for younger students, and hour-long lessons for students taking multiple lessons (piano and voice, guitar and voice, etc.)Studio or online lessons?* Studio/in-person lessons Online lessons (via Zoom or FaceTime)You may opt to switch between studio and online lessons by communicating with us about the switch. This is subject to your teacher's availability.Previous experience or training?* No previous experience or training 1 to 2 years of lessons 3 to 6 years of lessons 6 to 10 years of lessons 10+ years of lessons Save and Continue LaterFor private lessons. If your student is enrolling for group classes, you may skip to the next page.Do you have a sibling you would like lesson times to be grouped with? YesPlease check ALL days you are available for lessons and then specify the times in the next field.*Please note: Not all listed times may be available or open, depending on the current season lesson schedule and each individual teacher's availability.We will do our best to match you with a teacher that fits both your schedule and compatibility with the teacher. Select All Monday Tuesday Wednesday Thursday FridayMonday Time Slots (Time listed is class start)* Select All 9 AM 9:30 AM 10 AM 10:30 AM 11 AM 11:30 AM 12 PM 12:30 PM 1 PM 1:30 PM 2 PM 2:30 PM 3 PM 3:30 PM 4 PM 4:30 PM 5 PM 5:30 PM 6 PM 6:30 PM 7 PM 7:30 PM 8 PMTuesday Time Slots (Time listed is class start)* Select All 9 AM 9:30 AM 10 AM 10:30 AM 11 AM 11:30 AM 12 PM 12:30 PM 1 PM 1:30 PM 2 PM 2:30 PM 3 PM 3:30 PM 4 PM 4:30 PM 5 PM 5:30 PM 6 PM 6:30 PM 7 PM 7:30 PM 8 PMWednesday Time Slots (Time listed is class start)* Select All 9 AM 9:30 AM 10 AM 10:30 AM 11 AM 11:30 AM 12 PM 12:30 PM 1 PM 1:30 PM 2 PM 2:30 PM 3 PM 3:30 PM 4 PM 4:30 PM 5 PM 5:30 PM 6 PM 6:30 PM 7 PM 7:30 PM 8 PMThursday Time Slots (Time listed is class start)* Select All 9 AM 9:30 AM 10 AM 10:30 AM 11 AM 11:30 AM 12 PM 12:30 PM 1 PM 1:30 PM 2 PM 2:30 PM 3 PM 3:30 PM 4 PM 4:30 PM 5 PM 5:30 PM 6 PM 6:30 PM 7 PM 7:30 PM 8 PMFriday Time Slots (Time listed is class start)* Select All 9 AM 9:30 AM 10 AM 10:30 AM 11 AM 11:30 AM 12 PM 12:30 PM 1 PM 1:30 PM 2 PM 2:30 PM 3 PM 3:30 PM 4 PM 4:30 PM 5 PM 5:30 PM 6 PM 6:30 PM 7 PM 7:30 PM 8 PMAdditional information you would like to provide us about your choices of time slots (if applicable):This helps us look for a schedule that works best for you and with what we have available.In the fields below, we'd like to know what your first, second, and third choices are for lesson times from all the time slots you've marked. You must have three different day options and three different time options to be considered.First Choice*Second Choice*Third Choice* Save and Continue LaterTuition PolicyMonthly tuition rates are based upon the 9-month school year. The monthly tuition payment is due at the first week’s lesson of every month.Tuition payments are a set monthly fee divided throughout the school year to space out the tuition into smaller amounts. You are also welcome to pay for the full school year or for multiple months in advance.Known conflicts do not have the option of changing the monthly fee. All families will be sent an automatic monthly invoice via e-mail from Wave two weeks before the tuition due date. Tuition for each month will be due by the 1st lesson of each month. For your convenience, you will be able to pay via credit card, bank account, or PayPal.You will also have the option of opting for automatic payments so you never have to worry about forgetting! Payments not made by the 2nd weekly lesson of each month will receive a $20.00 late payment fee and lessons will be suspended until tuition is paid. The student/parent will be sent an automatic invoice via e-mail and tuition is due the 1st weekly lesson of each month. It is expected that the responsible party will pay the tuition by the 1st weekly lesson of each month. Payment options: Credit card (the 3% convenience fee will be waived), bank account, PayPal. (For those paying via PayPal: Your tuition bill will still be sent via WAVE and you are responsible for transferring funds via Paypal.) Commitments: The school calendar is used for school schedules and breaks, but we do not require a full semester commitment to register for lessons. Lesson commitments are on a monthly basis. (see below for cancellations) No re-registration required: As we roll over to the next school year, families will not be required to fill out another registration form! We will plan on continuing your lessons at your scheduled time. Families are expected to communicate with their teacher and with Red School of Music if they do not want to enroll for the next school year.I understand that I will be sent an automatic monthly invoice via e-mail, that tuition is due the 1st weekly lesson of each month, and that I am responsible for paying my tuition by the 1st weekly lesson of each month. I understand that I will be responsible for a $20 late fee if my tuition is not paid by the first week of every month.* Yes, I accept this policy.Payment OptionsDigital billing and payments via Wave is the default method of collecting tuition at RED School of Music. Please make sure you have a valid email submitted to the form.Invoices will come from WAVE (email@example.com) and you will be able to enter in your payment manually or save your card for automatic payments.There will be NO convenience fees for credit/debit card payments online.Due to too many issues with accepting cash/checks, we have decided we will no longer be accepting these forms of payment, except by special arrangement. If you need to make special payment arrangements or would like an alternative form of payment, please contact us directly.Cancellations and Rescheduling PoliciesMissed Lessons: Each student has a reserved lesson time, and is responsible for that time. If you can’t make your lesson time, please cancel by contacting us within 24 hours of that time. We have a 24-hour courtesy cancellation policy to respect the time, planning, and schedules of our teachers. Lesson times cannot be extended due to late arrival.In the event that a student is unable to go to the lesson time, the teacher will send a video lesson for the student to work on in place of the missed lesson.Thirty-Day Notice of Cancellation: If a student must discontinue lessons, a written, thirty-day notice sent to firstname.lastname@example.org is required. Payment is due during this thirty-day period whether or not lessons are taken. Exceptions may be made in extenuating circumstances.Individual makeup lessons: As these are 1-on-1 lessons with complete attention to your child, we do not provide refund for any lessons that have been missed. If the teacher cancels the lesson they will ensure to offer a makeup video lesson. Families are also welcome to contact other families (contact information for RED families is available by logging into their online account) to get another student to swap them lesson times for a week. Group Class makeups: Because of the nature of a group class, makeups and refunds are not offered to those that miss the group class. The class must still meet and the teacher must still lesson plan for the other students.Registration Fee:For the year of 2021-2022, there is a one-time registration fee of $30 per student paid only once per year (there will be no registration fee for the school year if you paid this in summer).There is a $50 family cap for registration fees.Why a registration fee? The registration fee covers the cost of the registration process including the hours it takes to provide you and all our students with their choice of time slots.Once you complete the form, you will be brought to a page where you can select your registration fee and pay for your slot. We will contact you when we receive the form and set you up with a teacher that fits your needs and schedule. After finalizing your schedule, you will be sent an email with details about your lesson and your tuition will be sent by our billing team via Wave. Paying for the registration fee officially secures your slot. This is to ensure that we can provide you a slot with an appropriate teacher at your chosen time.Media Consent Red School of Music is proud of all of our students and attend performances outside of Red as often as we can to support them! We are so proud of them that we like to take pictures as well! If this doesn’t float your boat, that’s okay, but we need to have all parents’ consent:Please select one:* Yes, I authorize RED School of Music to utilize recordings, images, and postings for the school's website, Facebook page, and other marketing materials that may include performances/pictures of my student/child. No, I do not authorize any use of media of my child in any RED promotional materials or social media.Release of Liability With enrollment to any class whether demo, preview or semester, the client releases any and all rights and claims for damages against RED School of Music LLC and its Staff in the unlikely event of injury sustained by the individual or their child(ren) during the course of or as a result of enrollment at RED School of Music, LLC.I understand that I do not have a space saved until I pay my registration fee.* Yes, I understand.The first listed parent/guardian name and email address will be added to our emailing list. We use these lists to send out important information about lessons, opportunities, and student policies. Sometimes we use a service called Kajabi to send our emails. You may opt out of the Kajabi service at any time by clicking on the unsubscribe link at the bottom of the email you get. For emails that come directly from Chelsea, Paul, or other staff members, please reply to the email directly and ask to be removed. Save and Continue LaterStudio Safety Policy*RED School of Music requires all staff and students to stay home when they are ill. We are keeping updated with the local health department to ensure that we follow best practices and recommendations regarding health and safety protocols.We know that younger children are not expected to maintain proper social distancing at all times. We implement a set of health protocols starting with (1) keeping ill or immunocompromised students and teachers at home, (2) required handwashing before and after studio lessons, (3) appropriate cleaning and sanitation between lessons.Although we do not require masks at this time, if necessary or needed from the health code regulations in the future, we reserve the right to reinforce the Covid-19 health regulation.In addition to health department requirements, we also recommend students to provide additional printed music for their teacher to keep to further minimize physical contact.If a teacher or students’ health/exposure or comfort level does not allow them to enter the studio we are still able to offer a zoom lesson for them at their allotted time until they are allowed to have studio lessons again. Yes, I accept this policy.Waiver of Liability, Release, Assumption of Risk & Indemnity Agreement*Notice: This is a legally binding agreement. We, the undersigned parents of _________________________________, understand that by signing this Waiver of Liability, Release, Assumption of Risk and Indemnity Agreement, that we release and hold harmless Red School of Music LLC (hereinafter “RED”), and its owners, directors, officers, advisors, employees, agents, instructors, volunteers, music instructors, and all other persons or entities acting for them, as well as Paul M. Melcher and Chelsea R. Melcher as the owners of the real property located at 1822 Penwood Pl., Marysville, Ohio and the Living Hope Church of Marysville as the owner of real property located at 16701 Square Dr., Marysville, Ohio, from any and all claims, demands, suits, cost and charges, in connection with or arising out of RED’s musical instruction service/performances, including but not limited to, personal injury, bodily harm, injury, or property damage occurring while the above child is in their care at RED. We understand that if our child should experience a medical emergency during the class session, we authorize RED to call 9-1-1 and to seek immediate emergency medical treatment for our child. We also understand that we are responsible to retrieve our child immediately upon request. We further understand that we have the option to remain in the RED and to observe our child’s instruction during the class session. We further consent to the RED using video equipment to monitor lessons and other activities, though we understand RED has no obligation to use video monitoring or to maintain such recordings for any length of time.Finally, we have read, understand and agreed to the terms of BOTH the RED policy set forth above and the COVID-19 Addendum set forth on the reverse side of this document. I have read and agreed to the Waiver of Liability, Release, Assumption of Risk & Indemnity Agreement. I understand that failure to fill out the form will cause my reservation to be null.Red School of Music LLC - COVID-19 Addendum to Waiver of Liability, Release, Assumption of Risk & Indemnity Agreement*In addition to the terms of the Waiver of Liability, Release, Assumption of Risk & Indemnity Agreement, we, the undersigned parents of _________________________________, we have read, understood and agreed to the following precautions in light of the COVID-19 Public Health Emergency, and we agree that the terms of the reverse side of this document specifically include a waiver and release of liability of RED from risks posed by COVID-19: ALL students MUST wash their hands with soap and water after entering the studio before their lesson begins and after their lesson ends. Teachers and students must respect six (6) feet social distancing guidelines. Students who wish to have in person lessons are required to have an additional printed folder of their music to give to their teacher (that will stay in the studio) for the duration of the course. Although we do not require masks at this time, if necessary or needed from the health code regulations in the future, we reserve the right to reinforce the Covid-19 health regulation. Only the teacher and student are permitted in the studio during a lesson. Parents/families must wait outside the studio. There will be very limited lobby access, and parents are strongly encouraged to be punctual in order to help accommodate health and safety protocols. If a student is six (6) years of age or younger, there is one adult permitted in the lobby for supervision purposes only. No person under any circumstances will be allowed to enter the studio if they have any of the following symptoms: fever, runny nose, cough or have been exposed to another person with these symptoms or to a COVID-19 case. Any exposure must result in a fourteen (14) day self-quarantine before the student is permitted back to the premises. RED teachers may implement new procedures without notice and/or deny students from attending in-person lessons for any health and safety reason during the COVID-19 public health emergency. If a teacher or students’ health/exposure or comfort level does not allow them to enter the studio, we are still able to offer a zoom lesson for them at their allotted time. We have read, understood and agreed to the terms of this COVID-19 Addendum.Please type in your first and last name as your digital signature.* First Last Today's Date* MM slash DD slash YYYY CAPTCHA Save and Continue Later Blank Page?If you are having trouble viewing the form, please try clearing your browser cache and reopening your browser. Should the problem persist, you may also fill out this Google form.