Amazing Music Student Info Sheet
Sign up information for music lessons
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Student First Name *
Student Last Name *
Student Age *
Parents or Guardians Name(s) if student is a minor *
Current Billing Address *
City *
State *
Zip Code *
Home Phone
Cell Phone *
Email *
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Teachers Name 
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Gift Certificate # (please enter if applicable)
How did you hear about Amazing Music Store?
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Please choose lesson duration and billing preference:
(All Lessons must be paid in advance to hold time slot)
                           *see lesson policy below
 *

STORE LESSON POLICY

Dear Amazing Music Students and Parents:
Because each teacher has only a limited number of time slots available, we ask the following: 

To hold a regular time slot on a “Weekly-Basis” and receive the per-lesson discount:

- All lessons must be paid for in advance

- Each Student must be responsible for taking a minimum of one lesson per week. 

Cancellation Policy:

*We ask you please call (310) 454-4669 at least 24 hours in advance.
*make-up credit lesson will be provided on a different day and time other than your

regular scheduled lesson. Failure to call will result in a charge for the lesson.
*All make-up credits expire one (1) year from the date of your original missed

lesson.

Each Student is allowed one (1) make-up credit per month. If more than one lesson per month is missed the additional missed lesson(s) must be paid in order to hold a weekly time slot, even if you are unable to be here.

This secures a weekly spot on a teachers schedule.

IF a weekly lesson cannot be secured, Lessons may also be booked on an: “APPOINTMENT BASIS”

-  All lessons must be paid for in advance.

-  If a minimum of four (4) lessons at a time are purchased, you will receive the per

lesson discount.

-  The same 24 hour policy stated above applies to appointment-basis.

-  All lessons are good for (6) months from date of purchase.

We have given thousands of music lessons and truly do love to teach. It is our greatest wish that each student has the best, positive “musical journey” possible.

Look for our videos on www.youtube.com/amazingmusicstore. Visit us online at www.amazingmusicstore.com and join us at www.facebook.com/amazingmusic

Thank you for choosing Amazing Music Store.
Patrick Hildebrand, Sr. and the Amazing Music Store Teachers and Staff.

Electronic Signature: 
* I agree to the above Store Lesson and Cancelation Policies. Please check box below to sign.
 *
Required
*CONSENT AND NOTICE REGARDING ELECTRONIC COMMUNICATIONS FOR Amazing Music Store
Electronic Signature Agreement. By selecting the "I Accept" button, you are signing this Agreement electronically. You agree your electronic signature is the legal equivalent of your manual signature on this Agreement. By selecting "I Accept" you consent to be legally bound by this Agreement's terms and conditions. You further agree that your use of a key pad, mouse or other device to select an item, button, icon or similar act/action, or to otherwise provide Amazing Music Store Inc.. or in accessing or making any transaction regarding any agreement, acknowledgement, consent terms, disclosures or conditions constitutes your signature (hereafter referred to as "E-Signature"), acceptance and agreement as if actually signed by you in writing. You also agree that no certification authority or other third party verification is necessary to validate your E-Signature and that the lack of such certification or third party verification will not in any way affect the enforceability of your E-Signature or any resulting contract between you and Amazing Music Store Inc. You also represent that you are authorized to enter into this Agreement for all persons who own or are authorized to access any of your accounts and that such persons will be bound by the terms of this Agreement.
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