Returning Student Registration
(Returning Students Only for the 2019-20 School Year. Please remember that the annual $40 recital fee must submitted in order to reserve your lesson slot for the upcoming year.
Student Name (First & Last)
Parent/Guardian Name (First & Last- If students is 17 years old or younger.)
Parent/Guardian Email (if applicable.)
Mailing Address - street, bldg #
Please update if there has been a change to your address within the last year.
Mailing Address - City, State, Country
Mailing Address- Zip Code
Please update school information section if student is entering a new school this year.
Student Grade Level
School Music Teacher Name
I'd like to learn the following additional instrument(s) during my instruction time.
What is your preferred location for lessons/tutoring?
Students who are combining lesson locations may have to select one location if there is a conflict with another lesson request.
Instructor Studio: Capitol Heights, MD
Virtual: Google Hangout
How long will each lesson be?
Pick a preferred lesson day and start time (Eastern Standard Time). Lesson time subject to adjustments based on currently enrolled students' lesson times.
I will keep my current lesson slot.
Tuesday 5:00pm - studio or virtual
Tuesday 6:30pm - studio or virtual
Tuesday 7pm - home, studio, or virtual
Tuesday 7:30pm - studio or virtual
Wednesday 3:30pm - home, studio, or virtual
Wednesday 6:30pm - studio or virtual
Wednesday 7pm - studio or virtual
Thursday 3:30pm - home, studio, or virtual
Thursday 4pm - home, studio, or virtual
Thursday 4:30pm - home, studio, or virtual
Thursday 5pm - studio or virtual
Friday 3:30 pm - studio or virtual
Friday 4pm - studio or virtual
Friday 4:30 pm - studio or virtual
Friday 5pm - studio or virtual
Saturday 11am - virtual
Saturday 12pm - virtual
Saturday 12:30pm - virtual
I prefer an alternate time not listed above. (Sunday and Monday lesson times n/a)
Lesson time will be in effect on the following date:
Please describe any updates or changes that have occurred over the last year that may/will impact the student's performance during lessons.
Media/Press Release Permission Statement
Must be confirmed with the parent/guardian of students 17 years old or younger.
I hereby assign and grant to ANG Music Services the right and permission to use and publish the photographs/film/videotapes/electronic/representations and/or sound recordings made of myself/the registered student during any and all of The Urban Flautistas (subsidiary of ANG Music Services) activities/events. I hereby release ANG Music Services from any and all liability from such use and publications. All media and images may be subject to use on various social media and digital marketing platforms including, but not limited to Facebook, Instagram, and YouTube. I hereby authorize the reproduction, copyright, exhibit, broadcast, electronic storage and/or distribution of said photographs/film/videotapes/electronic representations and/or sound recordings without limitation or notification at the discretion of ANG Music Services, and I specifically waive any right to any compensation I may have for any of the aforementioned. Please select one option.
I agree to the terms of the media/press release statement.
I do not agree to the terms of the media/press release statement and do not grant permission for any images, video, or sound recording of the registered student to be used as mentioned in the statement above.
Returning registration form completed by: (enter name below)
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