Enrollment Form

RCMNY Enrollment

Students

Address *
Address
City
State/Province
Zip/Postal
Phone Type *
Provide us with a valid e-mail address and we’ll use it for sending invoices, announcements & school closing notifications. (We will not share this info with others).

If student is under 18: Parent(s)/Guardian(s)

Student’s Primary Ethnicity *
** The following optional information is very helpful to us in applying for grants. Thank you! **
Student Type *

Please check your preferred lesson dates and times. Scheduling is done on a first-come, first-served basis.

Day *
Between Time *
:
and *
:
Please check what you prefer
Non-refundable Registration Fee (required upon enrollment) *
(registration fee is per academic school year and required at time of enrollment)

Select Lessons

Individual Lessons - 32-weeks - Pro-rated
Suzuki Lessons - 32-weeks - Pro-rated
Music for Life lessons - 32-weeks - Pro-rated

Group Classes

Group Classes - Full Year
Please contact the main office for Music for Life Lessons and Groups
PAYMENT OPTIONS *
*** Late Payment: In the event that payment is not made in a timely manner, lessons may be suspended.
Card Authorization *