Directions: Use this form for enrollment for in-home lessons only. (For ease, it is recommended to fill these forms out on a computer.) There are 3 sections to this form: Student Profile, In-Home Client Contract Agreement, and Payment Method. Enrollment is confirmed once all sections are complete and signed and the payment method on file is charged. (Tuition is prorated during the first month of enrollment.)
Student Profile
STUDENT 1 (required)
*Student Name:
*Instrument:
*Age: *Date of Birth:
*Gender:
LESSON INFORMATION (enter if known)
Instructor Name Start Date (within 2 weeks)
Lesson Day Lesson Time Lesson Length
STUDENT 2 (if applicable)
Student Name:
Instrument:
Age: Date of Birth:
Gender:
LESSON INFORMATION (enter if known)
Instructor Name Start Date (within 2 weeks)
Lesson Day Lesson Time Lesson Length
STUDENT 3 (if applicable)
Student Name:
Instrument:
Age: Date of Birth:
Gender:
LESSON INFORMATION (enter if known)
Instructor Name Start Date (within 2 weeks)
Lesson Day Lesson Time Lesson Length
PARENT INFORMATION
*Has your family been enrolled before at East Valley School of Music?
*Parent Name(s):
*Email Address (1):
Email Address (2):
*Phone (1):
Phone (2):
*Home Address:
*City: *State: *Zip Code:
*Heard About Us From:
If Referral, who may we thank?
Special Needs for Student(s):
In-Home Client Contract Agreement
Parent/Legal Guardian Name:
This Agreement is between East Valley School of Music (“EVSM”) and the above‑named Client.
By enrolling in EVSM’s in‑home lesson program, Client agrees to the following terms:
1. TUITION & BILLING
45‑minute weekly lessons are required when an instructor travels to a home to teach only one student. 30‑minute lessons are available only when two or more family members are enrolled in back‑to‑back timeslots.
*Monthly Rates
- 30-minute weekly lessons: $169/month (not recommended for piano students ages 7+)
- 45-minute weekly lessons: $239/month
- 60-minute weekly lessons: $309/month
*Rates above do not reflect any discounts or promotions.
Billing Schedule
- Tuition is billed monthly and due on the 20th of the preceding month. (Example: August tuition is due by July 20.) EVSM cannot accomodate alternate due dates.
- First‑month tuition is prorated; all subsequent months are billed at a flat rate.
- EVSM operates year‑round with four one‑week breaks (Spring, Summer, Fall, Winter).
- Tuition remains constant. Months with 5 lessons offset months with scheduled one-week breaks.
- If first tuition is charged on or after the 15th, the second payment is due on the last day of that month; regular billing resumes on the 20th thereafter.
Indicate agreement to TUITION & BILLING
2. DISCOUNTS
- Family Discount: 5% off total family tuition per family member enrolled in back‑to‑back timeslots
- Referral Credit: $30 tuition credit for referring a family who enrolls and lists the referring person during registration.
3. SIGN-UP FEE
A $59 signup fee is required for all new and returning students. This fee is non-refundable. Books, accessories, and recital fees are billed separately.
Indicate agreement to DISCOUNTS & SIGN-UP FEE
4. PAYMENTS & AUTOMATIC COLLECTION
EVSM does not offer refunds for missed lessons, early withdrawal, or unused lessons.
Tuition must be paid automatically through one of the following:
Bank Account (Preferred)
- Client provides routing and account number.
- Returned ACH payments incur a $10 fee; EVSM will reattempt the charge after 3 days.
Credit/Debit Card
- Client must maintain current card information.
- EVSM will contact Client if a card is declined or expired.
ClassWallet (ESA Students)
- EVSM emails invoices with student name and service description.
- Client is responsible for submitting ESA funds by the due date.
Tuition must be paid in full before the first lesson of each month. EVSM may report unpaid tuition to a collection agency.
Indicate agreement to PAYMENTS & AUTOMATIC COLLECTION
5. LATE FEES & NON-PAYMENT
- Tuition is late after the last day of the month and incurs a $30 late fee.
- If tuition remains unpaid, it must be collected 24 hours before the next lesson.
- If payment is not received by the 7th of the following month, the student will be dismissed.
6. CHARGEBACKS
All payments made to EVSM are final. The Client agrees not to initiate chargebacks, disputes, or payment reversals with their bank or card provider provided EVSM has delivered services as outlined in this Agreement. If the Client has a grievance, they must contact EVSM and allow 14 days for EVSM to investigate and respond.
Unauthorized chargebacks:
- Client is responsible for all fees incurred by EVSM.
- EVSM may suspend services.
- EVSM may report the delinquent account to credit bureaus.
Indicate agreement to LATE FEES & NON-PAYMENT and CHARGEBACKS
7. ONGOING ENROLLMENT REQUIREMENT
EVSM reserves weekly timeslots for students. Lessons cannot be paused or placed on hold for vacations, travel, or personal scheduling conflicts. Only serious illness/injury or documented extenuating circumstances qualify for temporary suspension.
8. LESSON SCHEDULING
Weekly Timeslot Commitment
- Students must maintain the same weekly lesson time.
- Frequent rescheduling requests are not permitted.
- 30‑day notice is required to change lesson day/time.
- Instructors may occasionally request flexibility; cooperation is appreciated.
Indicate agreement to ONGOING ENROLLMENT REQUIREMENT and LESSON SCHEDULING
9. MISSED LESSONS & INSTRUCTOR CANCELLATIONS
For in-home lessons, EVSM operates on quarterly scheduling (Jan–Mar, Apr–Jun, Jul–Sep, Oct–Dec).
Client Cancellations
- Client may cancel 1 lesson per quarter with 24+ hours notice and receive a tuition credit.
- Additional cancellations are not credited or made up.
- Notify the instructor directly, not the office. Notification must be sent via text message or email. Verbal notification is not sufficient.
Instructor Cancellations
- Instructor may cancel 1 lesson per quarter, requiring an online make‑up lesson. However, at instructor discretion, make‑ups may occur in‑home or at EVSM.
- Additional instructor cancellations are credited on the next tuition payment.
- If instructor provides 1+ week notice, a qualified EVSM substitute may teach the lesson.
Indicate agreement to MISSED LESSONS & INSTRUCTOR CANCELLATIONS
10. ONLINE LESSONS
Online lessons may be used temporarily for illness, contagious symptoms, or instructor transportation issues, unless otherwise agreed between Client and Instructor.
11. SCHEDULE DELAYS
Student Delay:
- Instructor waits up to 15 minutes; missed time is not added or refunded.
Instructor Delay:
- Student must allow up to 15 minutes; missed time will be added to the end of the lesson.
Indicate agreement to ONLINE LESSONS and SCHEDULE DELAYS
12. EXTENUATING CIRCUMSTANCES
Students may skip one month of tuition per calendar year due to documented extenuating circumstances (bereavement, serious illness/injury, etc.).
13. COMMUNICATION
EVSM sends important updates via email. Clients must remain subscribed and read all communications.
Indicate agreement to EXTENUATING CIRCUMSTANCES and COMMUNICATION
14. LESSON BINDER & MATERIALS
Students receive an EVSM binder and book bag. Clients must purchase music books and materials as assigned.
15. INSTRUMENT & MATERIALS REQUIREMENT
Students must have a functioning instrument and required accessories.
- PIANO: Acoustic or full size 88 key digital piano with stand, bench, and pedal. Keyboards with fewer than 88 keys are not acceptable, as they do not provide the sound quality or touch sensitivity required for proper musical development.
- VOICE: Piano or keyboard recommended; additional materials may be required.
- GUITAR/UKULELE/BASS: Working instrument, music stand, tuner, extra strings, picks (guitar).
- STRINGS: Working instrument, bow, rosin, cloth, music stand, tuner; cello requires rock stop.
- WOODWINDS: Working instrument; reed players must have 2 working reeds; music stand and tuner required.
- BRASS: Working instrument; valve/slide oil, tuning slide grease, cleaning cloth, music stand, tuner.
- PERCUSSION: Snare drum or practice pad, sticks, music stand; drum kit recommended.
Indicate agreement to LESSON BINDER & MATERIALS and INSTRUMENT & MATERIALS REQUIREMENT
16. ADULT SUPERVISION
Instructors cannot enter a residence or teach a minor without a supervising adult present and nearby for the entire lesson.
Indicate agreement to ADULT SUPERVISION
17. TEACHING ENVIRONMENT
Lessons must occur in an open, common room (preferably downstairs). Doors must remain open. Lessons cannot be held in bedrooms.
Indicate agreement to TEACHING ENVIRONMENT
18. INSTRUCTOR SAFETY
- Female instructors may not teach adult male students in‑home without another adult present.
- Male instructors may not teach adult female students in‑home without another adult present.
- EVSM reserves the right to dismiss any student or household whose behavior is unsafe, disruptive, or inappropriate, or whose environment poses a safety concern for instructors.
Indicate agreement to INSTRUCTOR SAFETY
19. DISTRACTION MINIMIZATION
- Parents may quietly observe lessons.
- Siblings and friends may not remain nearby, as they disrupt instruction.
- Pets (such as dogs and cats) must be kept away from the teaching environment.
- Household noise should be kept to a minimum; loud TVs, music, or conversations should not occur near the lesson area.
Indicate agreement to DISTRACTION MINIMIZATION
20. PRACTICE REQUIREMENTS & PROBATION
Students must attend lessons consistently and practice assigned minutes. Parents are expected to assist younger students. Instructors will notify parents of ongoing issues (absences, lack of practice, incomplete theory, misbehavior). Unresolved issues may result in a 4‑week probation and possible dismissal. Students missing 3 consecutive lessons without communication will be dismissed without refund.
Indicate agreement to PRACTICE REQUIREMENTS & PROBATION
21. RECITALS
EVSM hosts two formal recitals annually. Instructor will host a Spring Recital around April/May, and a Holiday Recital around November/December.
Requirements:
- Repertoire must be performance‑ready and memorized.
- Arrive 10–30 minutes early depending on instrument.
- Follow formal dress code.
- Remain for the full performance set.
- Students must announce their name/piece and bow/curtsy.
Indicate agreement to RECITALS
22. WITHDRAWAL POLICY
A 30 day notice of withdrawal is required at any time. An initial 2-month commitment is expected.
To withdraw:
- Client must submit the official Notice of Withdrawal Form (in person or via emailed link). Informing the instructor alone is not sufficient.
- Billing continues until the form is received. Final tuition is prorated based on lessons received.
23. EXTRA LESSONS ACCRUED
If a student withdraws before a scheduled break and has already received an extra (5th) lesson, the additional lesson will be billed.
Indicate agreement to WITHDRAWAL POLICY and EXTRA LESSONS ACCRUED
24. INSTRUCTOR REASSIGNMENT
EVSM may reassign students as needed. Students whose instructor leaves EVSM will be reassigned. The 30‑day withdrawal policy remains in effect.
25. NON-COMPETE CLAUSE
Clients may not solicit EVSM instructors for individual lessons outside EVSM. EVSM instructors (current or former) may not teach EVSM students individually for one year after leaving EVSM. Legal action may be taken for violations by instructors or clients.
Indicate agreement to INSTRUCTOR REASSIGNMENT and NON-COMPETE CLAUSE
26. OPTIONAL MEDIA RELEASE
EVSM may photograph or film students for marketing purposes (website, social media, print/digital). No identifying information or compensation will be used or provided.
Do you agree to Media Release (optional)?
26. POLICY UPDATES & SEVERABILITY
EVSM may update policies as needed. Clients will be notified via email, and continued enrollment constitutes acceptance of updated policies. Furthermore, If any provision of this Agreement is found unenforceable, the remaining provisions shall continue in full force and effect.
Indicate agreement to POLICY UPDATES & SEVERABILITY
Agreement
I, , agree to the terms of this contract and understand that failure to comply may result in dismissal from EVSM.
Date:
EVSM Office
Phone: (480) 895-0007
Email: office@evsm.net
Payment Method
East Valley School of Music requires tuition payments to be collected automatically on the 20th of each month.
Please choose from one of the following payment methods:
BANK ACCOUNT
This is our preferred payment method due to stability and lower processing fees. Client provides a bank account and routing number.
Bank Name:
Name on Account:
Routing # (9 digits):
Account #:
Account Type:
CREDIT/DEBIT CARD
Customer maintains current credit or debit card information on file. If a card is declined or expired, East Valley School of Music will contact customer. If payment issues are not resolved by the end of the month, a $30 late fee will be assessed.
Name on Card:
Card Number:
Expiration Date:
Card Type:
CVV:
Credit/Debit Card Billing Address:
City: State: Zip Code:
Click box below to sign and complete enrollment
