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Online Registration Form

Welcome to Erth Studios! Please complete the following registration form to create an account with us. After REGISTRATION, an erth studios REPRESENTATIVE will contact you within 48 business hours to answer any QUESTIONS you may have and to work toward scheduling a first lesson. Thank you for registering with us, and we look forward to working with you!

Family Information
Home Address *
Home Address
Home or Primary Phone *
Home or Primary Phone
Contact #1
Contact #1 Name *
Contact #1 Name
Home Phone *
Home Phone
Work #
Work #
Cell #
Cell #
Contact #2
Contact #2 Name
Contact #2 Name
Home Phone
Home Phone
Work #
Work #
Cell #
Cell #
Student #1
Student #1 Name *
Student #1 Name
Student Gender *
Birth Date *
Birth Date
Instrument/Subject *
Instrument Rental Request *
Student #2
Student #2 Name
Student #2 Name
Student Gender
Birth Date
Birth Date
Instrument/Subject
Instrument Rental Request
Student #3
Student #3 Name
Student #3 Name
Student Gender
Birth Date
Birth Date
Instrument/Subject
Instrument Rental Request
Student #4
Student #4 Name
Student #4 Name
Student Gender
Birth Date
Birth Date
Instrument/Subject
Instrument Rental Request
Required Policies and Agreements
Cancellation/Reschedule Policy *
In the event of a cancelation or missed lesson, there will be no refund issued or makeup lesson scheduled. If a lesson is missed due to an emergency situation or illness, we will make every effort to work with you on a case by case basis, though we cannot guarantee that we will be able to provide a rescheduled lesson time.
Calendar *
The schedule at Erth Studios reflects the school calendar of School District #51 for all breaks consisting of four consecutive days or more, including Thanksgiving Break, Winter Break, and Spring Break. The schedule at Erth Studios does not observe School District #51 breaks consisting of three consecutive day or less, including Labor Day, Columbus Day, Veteran's Day, MLK Day, President's Day, Memorial Day, or any Teacher Work/Inservice/Planning days.
Payment *
Lesson payments are due in accordance with the payment plan I select. Please note that all payment will be required and no refunds will be issued regardless of participation and attendance. In the event that a student chooses to not attend/drop out of their agreed upon lesson time, lessons will still be billed as set forth in the payment plan selected until the current semester's end.
Guidelines and Expectations *
Materials: Students should come prepared to each lesson with all required lesson materials. These include a lesson folder, a #2 pencil, a water bottle, and any sheet music/recordings we may be working from. Recording: Students are encouraged to record all or part of their lessons for reference during practice time. We ask that these recordings are in no way distributed via social media, YouTube, email, or any other channels, and are used for educational purposes only. Daily Practice: Students are encouraged to practice a minimum of 30 minutes daily. This time should be spent on warm ups, developing technical skills, and weekly assignments centering around repertoire. Mobile Phones: At Erth Studios we request that cell phones be kept out of sight and set to silent or vibrate during instruction time.
Liability *
I give my permission for my son/daughter/any other children under my supervision/care to utilize the playground and other spaces at Erth Studios. I understand that although the student(s) will be supervised by the staff at Erth Studios, LLC, I assume the sole risk in my son's/daughter's/any other children under my supervision/care's participation in the utilization of the playground and other spaces on the property of Erth Studios. I acknowledge that I will not seek to have Erth Studios, LLC or any associate parties held liable in the event that any accident, injury, loss of property or any other circumstance or incident occurs during or as a result of my son's/daughter's/any other children under my supervision/care's participation in the utilization of the playground and other spaces on the property of Erth Studios. This release of liability includes accident, injury, loss, or damages to the student/children under my supervision/care, as well as, to other individuals or property which may result from the student's participation. I hereby release and agree to hold harmless the staff at Erth Studios, LLC, its officials, agents and employees, or any associated parties, from any claims arising out of my son's/daughter's/any other children under my supervision/care's participation and utilization of the resources and space at Erth Studios, LLC.
Photography and Video Release *
I hereby grant permission to the rights of my/my child's/my children's image(s), likeness and sound of my/my child's/my children's voice(s)/playing as recorded on audio or videotape without payment or any other consideration. I understand that my/my child's/my children's image(s) may be edited, copied, exhibited, published or distributed and waive the right to inspect or approve the finished product wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of my image or recording. I also understand that this material may be used in educational settings and for promotional purposes within an unrestricted geographic area. Photographic, audio or video recordings may be used for the following purposes: • Promotion for Erth Studios • Educational Purposes By signing this contract, I understand this permission signifies that the audio or video recordings of me/my child's/my children's may be electronically displayed via the Internet or in educational setting. I will be consulted about the use of the photographs, audio recordings, or video recording for any purpose other than those listed above. There is no time limit on the validity of this release nor is there any geographic limitation on where these materials may be distributed. This release applies to photographic, audio and/or video recordings collected at Erth Studios or at any event/recital/showcase hosted by Erth Studios, LLC or its agents. I acknowledge that I have completely read and fully understand the above release and agree to be bound thereby. I hereby release any and all claims against Erth Studios, LLC in utilizing this material for educational or promotional purposes.
Enter Your Full Name
Questions or Concerns