Registration Forms

Staff Pages

Clients who actively refer others to Music Education Centers will receive, as a thank you, one $25 lesson fee credit for each referral they generate.

Use the Client Referral Form above to submit a referral!

Registration - All Programs

The following requirements must be met before commencing a lesson program at Music Education Centers:

  1. A commitment to regular attendance
  2. Completed Registration Form
  3. Signed Photo Release
  4. Signed Policy Sign-Off
  5. $125 deposit towards the first month’s tuition and registration fee – Private
  6. $85 deposit towards the first month’s tuition and registration fee – Group / Class
  7. Completed tuition assistance form if applicable
  8. Special Program tuition payment in full – if applicable

Registration materials are available for download. Please click on a Link to open the appropriate form, you may then choose to print the document and mail it or you you edit it and email it to us at www.MusicEdCenters@Rochester.rr.com.

New Student Pre-Registration

To register for a FREE trial lesson - simply fill out the form below.

Since the success of our business hinges on referrals from folks like yourself, please be sure to include the name of a friend, neighbor or relative that you feel may benefit from our services. They will not be obligated to purchase services from us in order for you to recieve your FREE trial.

Student Name(s) *
Age(s)
Parent / Guardian
Primary Phone *
Alternate Phone
Instrument of InterestPiano
Guitar / Bass
Drums / Percussion
Voice
Other
Location of Interest *Webster Studio
Spencerport Studio
Pieters Family Life Center
My House
What Days are best for scheduling?Mondays after 3pm
Tuesdays after 3pm
Wednesdays after 3pm
Thursdays after 3pm
Saturdays
E-mail Address: *
To recieve additional FREE lessons, please include the name and email of a friend, relative or neighbor that may be interested in learning more about our services. Once they enroll you will recieve a $25.00 Lesson Credit!
How did you hear about us?

* RequiredCreate Email Forms