Replay Music Studios Registration Form
2017-2018 Academic Year
Are you signing up for Band Coaching or Discovering Rock? *
Name of Student *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Age *
Your answer
Gender
Your answer
Address *
Your answer
Name of Parent(s)/Guardian(s) *
Your answer
Parent/Guardian E-mail 1 *
Your answer
Parent/Guardian E-mail 2
Your answer
School *
Your answer
Grade *
Your answer
Home Phone
Your answer
Business Phone
Your answer
Parent's Cell Phone *
Your answer
Parent's Cell Phone 2
Your answer
Child's Cell Phone
Your answer
Emergency Contact/Number *
Your answer
Relationship *
Your answer
Does your child have permission to leave the studio on their own, without adult supervision? *
Does your child have any allergies *
If yes, please explain:
Your answer
Are there any other medical issues or other information we should know about your child? If yes, please explain:
Your answer
The information from the following questions about your child will be used to help us place him/her into the best possible band situation taking into account age, experience and interests:
1. Instrument(s) played:
Your answer
2. How many years have you played/had private lessons?
Your answer
3. Favorite bands and songs:
Your answer
4. Have you played in a band before?
Your answer
5. Do you sing/want to sing?
Your answer
What are your top two days to rehearse (check 2)? *
Required
The following is for Discovering Rock only (Band Coaching, see below)
Fall Semester 2017
* Bands meeting on Monday, Tuesday & Wednesday: 13 Session Semester
• Cost: $585

* Bands meeting on Thursday & Friday: 12 Session Semester
• Cost: $540

Semester starts September 11 and ends December 15. Please check our website Program Calendar for holidays with no rehearsals.

Showcase scheduled for Saturday, December 16, 1:30-5pm.

Winter/Spring Semester 2018
Details TBA

Showcase date June, 2018 (TBA)

Semester
The following is for Band Coaching only:
Description & Pricing: Band Coaching
Band Coaching is a month to month membership program that includes:

• Weekly 1.5 hour band coaching sessions
• Independent rehearsal time (based on availability)
• Free workshops
• Opportunities to play in sponsored showcases and other events
• 15% discount on private lessons
• Monthly fee: $289/month. Program runs September to June with 8 monthly payments (see payment terms below)

Add Private Lessons (Band Coaching)
Weekly lessons based on the same calendar as Band Coaching sessions.
Additional Private Lessons Monthly Cost (check one):
Schedule and Make-Up Policies
Fall Semester: Monday, September 11 – Friday, December 15

Check calendar on our website for holiday schedule. Missed rehearsals may be rescheduled per the policy below. Showcase scheduled for Saturday, December 16, 1:30-5pm.

Winter/Spring Semester: Exact Schedule TBA

Make-Up Policy:
- While we do our best to accommodate every group and individual schedule, we cannot guarantee make-ups.
- If more than half of the members of a band are unable to make a rehearsal, and we are given at least 48 hours notice, we will do our best to reschedule the rehearsal.
- Advance notice of one week or more for an upcoming absence receives priority for make-ups, if the absence causes the whole band to reschedule. Bands will still rehearse if at least half the members are still available.
- No shows do not receive make-ups.
- For private lessons, we must receive at least 48 hours notice for cancellations in order to schedule a make-up. Requests for make-ups are based on teacher availability and must be scheduled directly with the teacher before the end of the semester.

Private Lessons: If selected, monthly payment is due as part of tuition for the band coaching program. Cancelations must be received at least 48 hours prior to lesson time in order to be rescheduled or lesson fee will be forfeited.

Payment Terms and Cancelation Policy
Band Coaching: Monthly fee of $289 + amount for private lessons (if selected) are due September 11, October 15, November 15, January 1, February 1, March 1, April 1 and May 1.

Discovering Rock: Payment (as noted above) is due in full on or before first rehearsal date of the semester.

Payments are based on four rehearsals per month but please note exact number of rehearsal sessions per month may vary based on calendar and holiday closures. We must receive at least 30 days notice to cancel participation in the program or a one month cancellation fee will apply.

General Rules of the Studio
• Shirts, shoes and pants must be worn at all times.
• NO DRUGS OR ALCOHOL: REPLAY STUDIOS EXPRESSLY PROHIBITS the possession, sale, or use of any illegal substances on the premises. Possession or consumption of alcoholic beverages on the premises is prohibited. violation of this condition will get you thrown out and it is not up for discussion or debate.
• NO SMOKING
• NO FIGHTING
• NO FOOD is allowed in the rooms. Non-alcoholic beverages are allowed in the rooms provided the beverage is in a sealed container (plastic bottles w/ screw-on lids, travel mugs, etc., No Glass containers) which must remain sealed when not in use
• Our spaces are for rehearsal, recording, and creativity ONLY. Please do not engage in any activity that may damage or destroy the equipment.
• Use of the following equipment is included in the class unless otherwise specified above:
(1) 5-piece drum kit, cymbals and accessories
(3) Three guitar amplifiers
(1) One bass guitar amplifier
(1) One P.A. > 2 speakers, 2 floor monitors, one mixing board, 4 power amplifiers.
(1) Keyboard
(1) Computer, monitor, mouse and keyboard for recording
Any necessary microphones, cables and stands.

• REPLAY STUDIOS is not responsible for the loss or damage of misplaced or unsupervised personal goods. Please take care of your belongings, and be respectful of everyone else’s belongings.

• At REPLAY STUDIOS we believe in working cooperatively in order to achieve the best results. All Members are expected to respect each other and respect the Band Coaches/staff.

I have read and understand the terms and conditions for registering for the Band Coaching or Discovering Rock Programs and agree to the Pricing, Cancelation and Make-up Policies, and General Rules of the Studio. *
I hereby request and authorize Replay Music Studios to charge my credit card on file with all monthly payments as defined in the aforementioned Payment Schedule (Discovering Rock: Check Option 3). *
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms