Sound Of Thunder Studio

Private Lesson Registration Form

Date Rec’d ______Office Use Only

Please mail with check, or bring to your first lesson:

Sound Of Thunder Studio, 78 Holden Road, Shirley, MA 01464 Tel. (978) 425-2794

Note that your first payment will cover the first 5 lessons, including the first, free lesson. Students electing not to continue after the first trial lesson will have their full payment returned by mail within 7 days. I will not deposit a tuition check until a student has committed to continuing lessons. I will return the uncashed check to any student who does not elect to continue past the first free lesson.

One registration form must be filled out for each student.

Please Print:

Student Name ________________________Date of Birth _________Male/Female ______

Parent/Guardian ______________________________

Phone (H) (____)_____-______ (W) (____)_____-______

Mailing Address _______________________________________________

City/State/Zip _____________________________

E-Mail Address ________________________________________________

New Students: On the reverse side of this sheet, briefly tell us about the student (study/practice habits, teaching style student relates best to, special needs, personal goals for music study, music styles of interest e.g. rock, folk, pop, classical, jazz). Attach additional sheets, if necessary. Please write legibly.

Instrument Guitar/Bass _______________________

Student Availability (Please list all options that you are willing to consider.)


Thurs.
____ could arrive

____ must leave    

{Office use:   Time:____}   

 

Tuition: $20 (30 min.)

I have read Sound Of Thunder Studio Lesson Policies and agree to abide by them:
_____________________________________          _______
(signature of parent/guardian or adult student)        Date