RM_StatsChild's First Name *Child's Last Name *Child's Birthdate *Parents' Names *Email *Address Line 1 *Address Line 2City *State *ZipcodeHome PhoneCell Phone *How did you hear about us?Allergies/Medical RestrictionsFor which session(s) are you registering? * Fayetteville Stage 2: 10AM-11AM Fayetteville Stage 2: Guitar 11AM-12PM Payment can be made all at once or split up into equal monthly electronic auto-debits withdrawn at the 1st day of each of the months of the session in which you're enrolling. One time tuition payment Monthly auto debit payments Terms & Conditions *I understand that this course has set dates. Any student-missed classes will not be refunded or made up. Cancelled classes due to inclement weather will be announced by text message and a make-up class will be offered.I acceptPermission to take photographsI give HeartStrings Academy permission to use photographs taken during classes for promotional purposes. Photos may be used in newspapers, marketing, website, social media, etc.I acceptPayment Agreement *Upon completion of this form you will be forwarded to our payment page to submit an initial payment of $50, reserving your spot in your chosen session(s). You will then receive an email detailing your schedule and confirming payment of additional balance due. Your spot is not held until your deposit has been submitted.I accept Note: It looks like JavaScript is disabled in your browser. Some elements of this form may require JavaScript to work properly. If you have trouble submitting the form, try enabling JavaScript momentarily and resubmit. JavaScript settings are usually found in Browser Settings or Browser Developer menu.
Comments are closed.
HeartStrings Academy