VIEWS: 3 PAGES: 3 POSTED ON: 11/4/2011
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 firstname.lastname@example.org 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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