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TEACHER’S COPY

Arah’s Piano Lesson to the student. Payment must be received before the books will be given to
Piano Registration Form 2018 the student.
 Missed Lesson Policy: Arah’s Piano Lesson is under no obligation to
provide refunds or make-up missed lessons unless the lesson is cancelled by
*Note: The attached Policies and Agreement form must be signed.
the teacher. Lessons missed by the teacher will be re-scheduled or a refund
will be offered. If 12 hours’ notice is provided by the parent that a lesson will
STUDENT’S INFORMATION
be missed due to sickness Arah’s Piano will place your name on a list and will
Full Name: ______________________________
inform you about any available lesson times that open up in the next 5 weeks.
Contact No.: ______________________________
A make-up lesson however is not guaranteed and you will still be charged the
E-mail Address: ______________________________
full amount for the missed lesson.
 Hygiene: All students must wash their hands thoroughly with soap and water
PARENT/GUARDIAN’S INFORMATION
before their piano lesson. Fingernails must be kept short to ensure they do not
Full Name: ______________________________ click and slide on the piano keys.
Contact No.: ______________________________  Practicing: Daily practice goals are set at the beginning of each term for each
E-mail Address: ______________________________
student. A practice log notebook will be given to the student each week to
record their progress.
PIANO LESSON INFORMATION
No. of hours and rate per lesson:
Please Read the Above Policies & Sign the Areas Below:
 ½ hour - P150.00
 ¾ hour - P200.00 I agree to adhere to Arah’s Piano Lesson’s policies stated above. I am the
 1 hour - P250.00 parent/lawful guardian of the child registered and as such I acknowledge and agree
to be responsible for the supervision and safety of my child at all times while he/she
POLICIES AND AGREEMENT
 Lesson Schedule and Fees: A full term consists of one lesson per week with a is on the premises of Arah’s Piano Lesson. Further, I accept responsibility for damage
total of 12 lessons for 3 months. caused to the facility by the actions of my child or my child’s siblings, and I agree to
 Piano Lesson length: A 1-hour piano lesson is recommended, however for indemnify Arah’s Piano Lesson for any damages arising as a result of those actions.
beginner students who are in their first 2 years of study a 30 minute lesson
may be acceptable. Signature of Parent/Guardian:
 Cancellation Fee: For students withdrawing from private lessons, a cancellation
fee that is equivalent to 4 lessons will be charged unless 4 full weeks’ notice is ___________________________
given (28 days). Signature over printed name
 Required Materials: Students must have a piano to practice on outside of Signature of Teacher:
lesson time. The piano must be tuned and maintained regularly. All piano
books used in the course of study will be purchased by the teacher and billed JAMORAH JEAN T. GABICA

Arah’s Piano Lesson Page


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TEACHER’S COPY

Signature over printed name

Arah’s Piano Lesson Page


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