Registration

Submission of this form does not secure your place in the lesson(s) of your choice. To secure your place, please pay the deposit total at the end of the form. You will receive an email within three business days with details on how to schedule your lessons. If your lessons are unable to be scheduled for any reason, you will be issued a full refund of your deposit.

1. Student Information

Participant Name*

First Last

Guardian's Name (if participant is under 18)

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Email*

Phone*

School

Grade

Age (as of Sep. 2020)*

Gender*

Male
Female
Non-Binary

2. Musical Background

Have you taken private music lessons before?*

Yes
No

On what instrument(s)?

Piano
Voice
Other

If other, please explain

For how long?

Do you have any musical ensemble experience?*

Yes
No

Please describe.

3. Emergency Contact Information

Name*

First Last

Phone*

Relationship to Student*

4. Release Form

Before registering for courses in the UNC-CMS, please carefully read our Release Form and our Code of Conduct Form.

*

I have carefully read the UNC-CMS Release Form (linked above).

Date*

*

I have carefully read the UNC-CMS Code of Conduct Form (linked above).

Date*

5. Private Lessons (ONLINE ONLY)

All private lessons will be conducted virtually this semester.

I am interested in private lessons with a UNC student teacher.

On which instrument?

What length of lesson are you interested in?

I am interested in private lessons with UNC Community Music School faculty.

On which instrument?

What length of lesson are you interested in?

Online Lesson Acknowledgement*

I understand that all lessons will be conducted online this semester and have access to, or can obtain, the necessary equipment for these lessons. (Reliable internet, a computer and web camera, etc.)

7. How did you hear about us?

How did you hear about UNC-CMS*

If other, please explain

8. Total

Total Deposit

$0.00

This is the preliminary deposit of tuition you owe for this semester. This amount should be paid to reserve your spot.

To pay your deposit, please visit: https://tps.oasis.unc.edu/pay/ucms and enter your total deposit fee (listed above). To pay by cash or check, please mail to: UNC Department of Music ATTN: Cat Zachary 145 E Cameron Ave CB #3320 Chapel Hill, NC 27599-3320 *Checks should be made out to UNC Department of Music.

THIS IS NOT A FINAL BILL. You will receive an invoiced amount by email once your enrollment and schedule of lessons are confirmed.

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Community Music School Application Form - Fall 2020

1. Student Information

2. Musical Background

3. Emergency Contact Information

4. Release Form

5. Private Lessons (ONLINE ONLY)

7. How did you hear about us?

8. Total