Request edit access
Cynthia Ali Studios LLC
Studio Policy and Sign Up Form
Sign in to Google to save your progress. Learn more
Parent's Name: First and Last Name *
Name: First and Last Name *
Address: House #, Street, City, State, Zip *
What kind of piano do you have? *
Does your piano have a pedal? *
Learning Goals: *
Billing: Payments for one month of lessons are due, in advance, by the first lesson of the month. You will be emailed an invoice from SQUARE on the first of the month. ($30.00 per week) You can use Credit/Debit card to pay the invoice sent to you at your current email using SQUARE. *
Email: (Your email will be used for contacting you and sending you invoices.) *
Online Lessons Procedure:  You will need: 1) A computer/laptop, iphone, ipad 2) Microphone   3) Webcam   4) Ethernet cable for computer/laptop (optional, but helps with faster speed and less freezing)   5) ZOOM – zoom.us  (connection software, FREE)   If you need help setting up for online lessons, please contact Cynthia Ali at cynthiaalistudios@yahoo.com or text 651-558-7644 to schedule a FREE setup time. Once you submit your registration I will give the Meeting ID and Password to connect. Please arrive to your lesson a few minutes early.  If there are technical problems during a lesson that cannot be resolved, the lesson will be rescheduled for a later date. You will not be charged for the lesson, if technical problem cannot be resolved.
Clear selection
Books & Materials: The cost of book and materials costs is determined by your level. Students can purchase music and materials at local music stores or online. Approximately $20 - $25 per level. *
Cancellations of a weekly lesson:  Contact Cynthia Ali in advance if you need to cancel a lesson due to sickness or unexpected emergencies. Please give Cynthia notice at least 24 hours in advance, if possible. Then your spot can be used for makeup lessons for another student. Call or text Cynthia's cell phone at: 651-558-7644. Cynthia Ali will contact you if she needs to cancel lessons. The payment for the lesson missed will be credited only if you are sick or have an emergency.       *
Unpaid lessons: On the third week your time slot will be forfeited and you will be billed for unpaid lessons. Payment is due upon receipt of invoice.• *
No Call/No Show: If you do not call, text or email to let Cynthia Ali know that you will not be at your lesson, you will be charged $30 for the lesson. *
Attendance: Cynthia Ali can only save a specific time slot if you are committed to weekly lessons. If attendance become sporadic, lessons will be changed to “by appointment only”. Cynthia will talk with you if this happens. You can book your lessons at www.calendly.com/cynthiaalistudios for online using ZOOM. *
For Parents of Minor Children: Parent or guardian must be present in the home during the child's lesson. Parent must log in student and be present to ensure the student's safety. *
Parental Responsibilities: Ensure that the student arrives at the lesson on time. Make regular/timely payments. Give at least two week's notice if your student wishes to discontinue lessons. Provide necessary support materials: A  playable instrument in good repair, Music—available through local music stores and online,  metronome, and quiet place for practice. Create an environment which encourages practicing. Keep in regular communication with both teacher and student about progress and goals. Keep your email address and contact information up-to-date. Cancel lessons within the 24 hr. cancellation period, or as soon as possible. Call or text Cynthia Ali's cell at: 651-558-7644 *
Termination of Lessons:  If you quit lessons, you will be sent a bill for any unpaid lessons. Payment will be due upon receipt. Students may terminate lessons at anytime for any reason.  If you have prepaid for unused lessons and quit you will be NOT be reimbursed. You will have a credit to use for lessons only. Teacher may terminate lessons at anytime for any reason. *
Student Responsibilities: Prepare all lessons with sufficient practice. Bring your books to all lessons. Come to lessons on time. Maintain and care for your instrument—take care of needed repairs. Plan to participate in virtual recitals. Enjoy being a musician! *
By submitting this form you agree to the Cynthia Ali Studios Policy. *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms