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									                                               TERMS & CONDITIONS


1. ENROLLMENT FEE: Twenty ($20.00).


2. MONTHLY FEES: The prices of lessons are $18.00 for a ½-hour session (minimum 1 class a week). Totaling $72.00
per month. In the case that a month has five weeks the total would be $90.00.


3. REQUIRED PRE-PAY: The payments are made monthly, at the last paid lesson. This prepay is mandatory, it
reserves your weekly time slot, if you fail to prepay, your reserved time slot is canceled for the following month.


4. NO CANCELLATIONS: This is a private lesson, if you do not come to your reserved slot we consider it a no show.
We will use your prepayment to pay the teacher for this lesson because we did not have enough time to schedule a different
student in your reserved lesson time.


5. SUBSTITUTE TEACHERS: If our teacher is unavailable, we will provide you with another teacher. If one is not
available we will reschedule your lesson, or the prepayment of this lesson will be used as a credit on the following month’s
payment.


6. WITHDRAWALS: You may request to withdraw at any time, however we need at least two weeks notice prior
to the date of the last lesson. This early notice gives us some time to put someone else in your time slot.


7.CHILD SUPERVISION: Music Depot is not responsible for student’s actions inside Music Depot or in the surrounding
areas. This responsibility is strictly the student's parents or guardians.



           I HAVE READ AND UNDERSTOOD THE TERMS AND CONDITIONS OF THIS AGREEMENT WIT MUSIC DEPOT INC


      SIGNATURE:______________________________________________________________DATE:_____________________




                                                  www.musicdepotusa.com
                                LESSON ENROLLMENT FORM
THIS FORM IS ONLY TO BE USED TO ENROLL IN LESSONS AT MUSIC DEPOT.
PLEASE FILL OUT IN ITS ENTIRETY! THIS WILL BE USED FOR CONTACT AND
OFFICIAL SCHEDULING OF THE STUDENTS LESSON. IF YOU HAVE ANY
QUESTIONS ABOUT THIS FORM, PLEASE SPEAK TO A MUSIC DEPOT
REPRESENTATIVE.

STUDENT’S NAME: ____________________________________________________
ADDRESS:_____________________________________________________________
CITY_______________________________________________________ZIP________
PHONE NUMBER:______________________________________________________
PARENT’S NAME:______________________________________________________
DRIVER LICENSE #_____________________________________________________
DATE STUDENT WISHES TO START:_____________________________________
INSTRUMENT:_________________________________________________________
E-MAIL:_______________________________________________________________
HOW DID YOU FIND OUT ABOUT US?____________________________________
                                  Music Depot Release Form

PHONE:                            FAX:                   E-MAIL TO:
305 246 9997                      305 246 9980           info@musicdepotusa.com

PHOTO, VIDEO, & AUDIO RELEASE Music Depot requests permission for the
publication of photos, videos, and/or audio recordings of your child. Photos may be selected for use in
display ads, on promotional materials, in our newsletter, or on the Music Depot website. Video footage
may be posted on the Music Depot website or on the Music Depot MySpace page. Audio recordings may
be selected for use on the Music Depot website or on the Music Depot MySpace page. Parents and
students must understand and agree that these materials will become property of Music Depot. Student
names will not be disclosed or published.


Optional
___ I agree to the Photo, Video & Audio Release
___ I choose to opt out of the Photo, Video & Audio Release

(Parent/Guardians’ Signature)            (Date)

__________________________               __________________________


I hereby certify that I have read, understand, and agree to the Music Depot Release Form.

__________________________               ______________________
(Student Signature)                                              (Date)
                     PHONE ( 305)246-9997 FAX (305)246-9980
                            ww.musicdepotusa.com


MUSIC DEPOT STUDENT:___________________________________________________.

PARENT OR GUARDIAN:____________________________________________________.

MONTHLY PAYMENT

I, the undersigned, authorize my monthly payment on the attached contract, to music lessons to be
charged on my credit card.

____ $ 18.00 for a ½ hour session once a week (Totaling $ 72.00 per month, in case that a month
has five weeks, the total would be $ 90.00).

____$ 36.00 for 1 hour session once a week ( Totaling $ $ 144.00 per month, in case a month has
five weeks, the total would be $ 180.00).

 ALL INFORMATION MUST BE PROVIDED IN ORDER TO PROCESS THE CARD

CREDIT CARD#__________________________________EXP.DATE_______________

     V CODE_____________ MUST HAVE THE V CODE
3 DIGIT # ON BACK OF CREDIT CARD FOR VISA, MASTERCARD & DISCOVER
4 DIGIT # ON THE FRONT OF THE CARD FOR AMERICAN EXPRESS.

PRINTED NAME ON CARD_____________________________________________________

AUTHORIZE SIGNATURE_______________________________________________________

______________________________________________________________________________.
______________________________________________________________________________.
CREDIT CARD BILING ADDRESS (COMPLETE ADDRESS WITH THE ZIP CODE):
WHERE YOU RECEIVE THE BILL FOR THE CREDIT CARD.

								
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