New message January 16, 2021: Please visit our COVID-19 information page for the latest updates.

Start Date: *

Teacher Preference for Instrument 2:

Parent/ Guardian or Adult Signature *

Desired Lesson Day: Instrument 2, Choice 1:

Comments/ Questions:

First Instrument: *

Desired Time: Instrument 2, Choice 1:

Desired Time-Frame: Instrument 1, Choice 2 *

Second Instrument:

Teacher Preference for Instrument 1: *

Secondary Contact Name:

Online registration

Prior Experience and/or Goals

Primary Contact Phone Number: *

Additional Comments/ Questions:

Desired Time Frame: Instrument 2, Choice 2:

Lesson Length: Instrument 2

Tuition Deposit

1/2 hour / $152.00
3/4 hour / $228.00
1 hour / $304.00
Registration Fee
$25.00 per individual
$40.00 per family

Please select all lesson options you would be interested in: *

Virtual only

Hybrid schedule ~ a hybrid schedule would be a combination of virtual/ in-studio classes to help maintain social distancing.

Emergency Contact Phone Number: *

Address: *

Private Lesson Registration for the 2020/2021 Academic Year

Email Address: *

Desired Lesson Day: Instrument 1, Choice 1 *

Music 101 Policies

Desired Lesson Day: Instrument 2, Choice 2:

Private Lesson Options

Music 101 is open for lessons

Monday - Thursday 2:00 - 8:00 PM

Friday by appointment

Fall 2020 Lessons Begin:
Monday, August 31st

View instructor schedules here

INSTRUMENT

Acoustic Guitar: age 6 - adult
Electric Bass: age 6 - adult

Electric Guitar: age 6 - adult
Piano: age 4.5 - adult

Ukulele: age 5 - adult
Violin: age 5 - adult
Voice: age 10 - adult

TUITION DEPOSIT TOTALING

FOUR LESSONS

Lesson Length / Tuition Deposit

1/2 hour / $152.00

3/4 hour / $228.00

1 hour / $304.00

ANNUAL REGISTRATION FEE

$25.00 per individual

$40.00 per family

Please send a deposit equal to four lessons plus the annual registration fee. Lesson times cannot be reserved without payment.
Music 101 accepts payments by personal check or cash only.

Please make checks payable to
Music 101 and deliver to:

Music 101

57 Upham Street

Melrose, MA 02176

Lesson Length *

Emergency Contact Name *

Online Student Registration Form

Please submit 1 form per student

COVID-19
Guidelines & Waiver

STUDENT NAME: *

I give permission to Music 101 to photograph and audio/video record classes, lessons and other activities, to be used in print or electronic promotions. Music 101 will not publish the names of students without parental consent *

Music 101 COVID-19 Waiver *

In checking this box, I (parent/guardian or adult student) have read Music 101's COVID-19 Guidelines & Waiver thoroughly. By signing I am willing to comply with the established safety guidelines and do not hold Music 101 liable for any exposure or contraction of the COVID-19 virus. Music 101 reserves the right to send home students who fail to comply with these guidelines.

Primary Contact Name: *

School/ Grade *

Desired Time Frame: Instrument 1, Choice 1 *

Desired Lesson Day: Instrument 1, Choice 2 *

Secondary Contact Phone Number:

Music 101 POLICY ACKNOWLEDGEMENT *

In checking this box, I (parent/guardian or adult student) have read Music 101's payment/cancellation policy thoroughly. I understand the information and am willing to comply with the established guidelines.

Birthdate *

Music 101 Registration
Packet 2020/21 (PDF)

Music 101 PAYMENT REQUIREMENTS *

In checking this box, I (parent/guardian or adult student) understand a tuition deposit equal to four lessons plus the registration fee is required in order to reserve lessons.