Taller De Musica - 2002/2003 Registration Form

George Gordon  M.A., B.G.S., G.L.C.M., A.L.C.M., P.B.D..

Telephone: (604) 777-2044, or cell (604) 767-6149.    Email: [email protected]   Website: Click Here

All lessons are given in the privacy of your home, therefore -you must have a piano.

Grade 1 to Associate Diploma: classical music only: Theory lessons also available.

Your Contact Information:

Parent/Guardian Name:____________________________________________________

Address:______________________________________________________________________________________

Student's Name:__________________________________________________________

Phone # (604) _____________________    Cell # (604) ___________________________

Email address: ___________________________________________________________

WHEN is your lesson?

Lessons can be between 7:00am and 8:30pm, Monday to Friday, or between 8:00am and 6:00pm on Saturdays.

Do you want Piano lessons (___), or Theory lessons? (___)

On what day do you want your lesson? _____________  And at what time? ______________

Name an alternative day (for scheduling) ______________  What time? ______________

What Grade level will you be taking? _____________________________ And with: RCM (___), or TCM (___)?

Will you be taking:

30 minute lessons?  (___)  THEORY ONLY

30 minute lessons?  (___)  (Grades 1 to 3)

45 minute lessons?  (___)  (Grades 4 or 5)

60 minute lessons?  (___)  (Grades 4 or 5)

60 minute lessons?  (___)  (Grades 6, 7, 8, 9, or 10)

45 minute lesson twice a week?  (___)  (Grade 9, 10, or Diploma)

Payment Option #1: Monthly or weekly payment:

There is a Registration Fee of $45 for this option. Lessons are to be paid for monthly or weekly in advance by cash, Cheque, Money Order or Bank Draft. Special rates are available for 2 or more students in the same family, or for fixed-income parents - discuss this with George. Lessons start the week of September 3/2002 and finish the week of June 14/2003 - 39 lessons in all.

Payment Option #2: Annual Lump-Sum Fee payment:

No Registration Fee is required for this option. Payment must be submitted in full at time of registration or by September 1st/2002 by post-dated Cheque, Money Order, or Bank Draft. Registration for this option must be completed by September 1st/2002. 39 lessons from the week of September 3/2002 to June 14/2003.

Payment Option #3: Semi-Annual Fee payment:

No Registration Fee is required for this option. Payment for this option must be made twice a year - by September 1/2002 and by February 1/2003 or at time of registration - by post-dated Cheque, Money Order or Bank Draft.

Terms of Agreement:

The one-time Registration Fee of $45.00 is waived if fees are paid in full before or on September 1st, every year. This only applies to those who choose to opt for the Lump-Sum Year and Half-year payment schedule. For the Lump-Sum Year and Half-year payment schedule please submit a post-dated Cheque or Money Order dated September 1st, and - if applicable - February 1st of every year. For the monthly payment option, payment must be submitted at least 10 days before the first lesson of the 4-week period. Paying by week as the lessons go is ok.

Please read the following carefully and sign the agreement. A copy will be given to you for your records.

• The lesson time indicated on this form has been reserved for you, the Student, for the current year of (_______) and the following applies:

• No Lessons will be rescheduled for activities that interfere with the applicant's reserved lesson time such as: [School Function   School Concerts   Holidays outside of Christmas and Spring break   Sports Events   Birthday Parties   Field Trips   Exchange Programs   Illness   Dental or Doctor Appointments   Forgetting a Lesson]

• It is the Student's sole responsibility to arrange any exchange of times with other students if they wish to do so, however at least a day's notice must be given to the Instructor. Lessons are not available on Sundays.

• No refunds will be issued for any of the above reasons; No Exceptions.

• At least 24 hours notice must be given to cancel a lesson.

• If any schedule openings are available, a lesson can be rescheduled. Otherwise no makeup lessons are given. In case of the Instructor being ill, every effort will be made to do make-up lessons if openings are available, no guarantees.

• A student's long-term illness or medical problem that causes a cancellation requires a Doctor's Certificate.

• There are no lessons during Christmas and Spring Breaks.

• Post-dated Cheques are required as per instructions above.

• NSF Cheques will have a $25.00 service charge applied, and may also result in cancellation of this agreement.

• Purchasing music books, manuscript books/paper, and/or theory books are usually the sole responsibility of the student, however the Instructor can obtain the necessary book(s) with the agreement that they will be paid for within 10 days of the next lesson, and at least 2 week's notice is given for the required books. Taller de Musica strongly suggests Ward Music on Hastings Street, downtown.

• Two month's notice for permanent cancellation of Lessons must be given - where possible.

• The one-time Registration Fee is non-refundable. If a lump sum payment is made (yearly or half-yearly) and cancellation occurs, the Registration Fee will be charged and deducted from the refund (if any).

• If - after in-depth consultation with parents/guardians - a student is not showing consistent progress and is coming unprepared in theory and/or piano assignments at weekly lessons, I reserve the right to discontinue lessons.

All Cheques or Money Orders or Bank Drafts are to be made out to Taller de Musica

Applicant's or Parent's or Guardian's Signature (required), I  (please print your name) ___________________________________________, have read and agree to the terms of this contract.

Sign here: ____________________________________ Date: ______________________

This Document must be signed and dated.

Taller de Musica: Music Instructor: George Gordon.   Burnaby, BC.   Phone #: (604) 777-2044,  cell (604) 767-6149    (G.L.C.M. #24831)

Refunds on permanent cancellation will be made only in the event of long term illness or a family emergency that affects the ability of the student to perform their assignments, in this case a Doctor's Certificate is required - otherwise no refunds will be made. A two month lead time in the event of cancellation must be given for those who pay month to month and for those who pay lump sum payment, less the original discount given, and the Registration Fee - if applicable.