Private Music Lessons Dallas, Texas (TX) Private Music Lessons Dallas, Texas (TX) Private Music Lessons Dallas, Texas (TX) Private Music Lessons Dallas, Texas (TX) Private Music Lessons Dallas, Texas (TX)
 
Enrollment Application
Upon the completion and submission of this application we will immediately begin the enrollment process. So that we may provide you the best possible education, please answer all questions thoroughly. Thank you for choosing The Dallas School of Music, Inc.
A $35 registration fee is required for each application submitted.
How will you pay the registration fee?




Client Information
First Name
Middle Initial
Last Name
Street Address
City
State
Zip Code
Home Phone
Work Phone
Alternate Phone
Email Address
Relationship to student
Student Information
First Name
Nick Name/Preferred Name
Middle Initial
Last Name
Date of Birth
School or Employer
Last Grade Completed
Area of Interest
Preferred Session Times
please check all days and times that you prefer to have a session

Monday
10 AM - Noon
Noon - 3 PM
3 PM - 6 PM
6 PM - 9 PM
Tuesday
10 AM - Noon
Noon - 3 PM
3 PM - 6 PM
6 PM - 9 PM
Wednseday
10 AM - Noon
Noon - 3 PM
3 PM - 6 PM
6 PM - 9 PM
Thursday
10 AM - Noon
Noon - 3 PM
3 PM - 6 PM
6 PM - 9 PM
Saturday
9 AM - Noon
Noon - 4 PM
Preferred Session Length
please complete this section if you are enrolling for individual instruction
I prefer Half Hour Sessions
I prefer One Hour Sessions
Music Education
The information you provide below aids us in matching you with the DSM music educator that will best meet your needs both musically and personally. Thank you for your assistance with this important process.
 
What are your musical goals?
What types of music do you enjoy most?
Describe the best possible student-teacher relationship for you.
Are there any non-musical benefits you hope to obtain through music?
How will you determine the success of your music education?
How would you best describe your personality?
Do you have any special needs (Dyslexia, ADD, Down Syndrome, etc.)?
Are you comfortable with the terms of enrollment (see below)?
Please feel free to add any additional comments or educational concerns.
Enrollment Terms
Tuition: Tuition and fees must be paid before a student is admitted to a lesson, class or ensemble. Students are not considered registered until payment has been made. There is a non-refundable application fee of $35 per student and curriculum fees may apply throughout each semester. Tuition is charged for the full semester and may not be paid weekly or monthly; however, a split payment option is available. Students must register in person at DSM. All tuition and additional fees, are non-refundable. A $20.00 fee will be assessed to Student’s account for any returned checks. Families choosing a single semester enrollment plan may elect to use a split payment plan. This plan is available for Fall and Spring Semesters only. Split payments are administered through Intuit’s automated processing Center using a MasterCard, VISA, or Discover Card. There is a $15 non-refundable fee each semester for choosing the split payment option. First Payment: Application fee, split payment fee, curriculum fee, and half of your tuition are due at the time of registration. Second Payment: The full balance of tuition will be processed October 1 for Fall Semester enrollments and February 1 for Spring Semester enrollments. A late fee ($15.00) is charged to students who register after the first day of the semester. The late fee only applies to continuing students who received a renewal form. It does not apply to new students, or to continuing students who are registering to study a new instrument. It is charged one time per semester, per family. DSM reserves the right to suspend instruction when students do not meet their financial obligations; students are still liable for the full cost of instruction. Tuition credit or make-up lessons are not given as a result of lessons missed due to suspension.

Missed/Canceled/Tardy Sessions: Student can re-schedule two (2) sessions a semester. Student can reschedule a session during the week of a regularly scheduled session, a week prior to the regularly scheduled session, or a week after the regularly scheduled session. If Student is unable to attend a session time within this three week period the missed session is permanently cancelled. If Student fails to attend a session without notifying DSM, no re-scheduling is permitted. Client is responsible for tuition regardless of whether Student attends any session. DSM does not guarantee a full session time if Student is late to a session. Schedule/Faculty Change: Throughout the duration of this enrollment, requests for schedule changes may be made. If the day, time, and faculty of a requested schedule change are available, DSM will execute the first schedule change free of charge; a fee of $15.00 will be assessed to Client’s account for each and any subsequent schedule change. Currently scheduled sessions continue without interruption until the requested change becomes effective. DSM reserves the right to substitute and/or change Student's Faculty at any time. Instruments and Supplies: With the exception of pianos and percussion instruments, Student must supply his or her own instruments; amplifiers will be available for electronic instruments. Student is responsible for educational supplies and teaching materials assigned by the Faculty, such as software, books, and sheet music.
 
I have read and accept the Terms of Enrollment
 
 
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2650 Midway Road - Carrollton, TX 75006 | ph. 972.380.8050
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