Riaan Eloff Music Academy
Standard Music Student Agreement
I, the undersigned, hereby enroll
to study the instrument/s listed below, for the period as indicated on this form. By signing this document, I acknowledge that I have read it in its entirety, and agree to abide by its stipulations.
Note that all courses run in quarters of 3 months. Thus, you re-enroll for continuation every three months, except for the first year, where enrollment is for a 12-month period. Lessons take place once a week, as indicated in this form below and are an hour in length.
Please select an instrument by making a circle around it:
(Please DO NOT SIMPLY “PICK A TIME” at random. Please fill out this part of the form AFTER COMMUNICATION with REMA, so that you may agree upon a lesson time with the instructor.)
Enrollment is for the dates starting ___________ 20____
Please circle the agreed-upon time for the lesson:
Mon Tues Wed Thurs Fri
14:00 14:30 15:00 15:30 16:00 16:30 17:00 17:30 18:00 18:30 19:00
Morning lessons are available upon special request. Do contact your instructor about such.
Fees calculated as a per-year figure, but are paid per quarter-enrollment. There is no per-lesson or per-month fee. A quarter that consists of an hour lesson each week, has a fee of R3350.00 for the quarter.
Fees are due one month before the start of a quarter, in full for the upcoming quarter. Late registrations may carry a penalty, or may be denied.
Emergency Contact Name:
Emergency Contact Cell Phone:
Any medical, psychological or other conditions that the teacher should be aware of?
I realize that by signing this form, I bind myself to the stipulations within it, including those in “Addendum A” which is attached. I also realize that by signing it, I confirm that I am responsible for payments, and will be held liable in the event that payments are defaulted upon. I acknowledge and confirm that I have given all relevant information in this form, and that there is no condition, no circumstance, and no situation that may arise due to my withholding of information, for which I will hold the teacher or REMA responsible.
Promo code (if any) ____________________________
Signed on this _____ day of _______________________, 20___ at Pretoria.
Banking Details for REMA are as follows:
FNB current account in the name of:
The R & L Trust
Student Lesson Requirements