Color Guard Private Lesson Form: Herbert Washington

Color Guard Private Lesson Form

Mr. Herbert Washington will be offering private lessons during which guard members can improve their equipment and body movement skills. Lessons will be offered during the time blocks listed below. Please know that your selections below are PREFERENCES. Once completed, this form will be sent to directors to organize the specific date and time for your student's lesson.
Student Name *

First Name Last Name
Student Email *
example@example.com
Student Phone Number *
Please enter a valid phone number.
Grade *

9 10 11 12
Reminder: Please know that your selections below are PREFERENCES. Once completed, this form will be sent to Mr. Washington to organize the specific date and time for your student's lesson.
Lesson Length *

30 minutes: $30 1 hour @ $55
Please select the days of the week that work for your lesson (Please note that there will be no evening lessons or after rehearsal lessons available) *

Monday after school (30 minutes only; 4:15 - 5:15) Tuesday after school Wednesday after school Thursday after school (30 minutes only; 4:15 - 5:15) Advisory period on a black day
The time and cost of a lesson can be shared between 2 team members. Are you wanting to share a lesson time and split cost? (Requests will be reviewed and you will be contacted for arrangement and scheduling) In the case of a shared lesson, each member would individually pay an adjusted price for the lesson. *

Yes No
Parent Name *

First Name Last Name
Parent Phone Number *
Please enter a valid phone number.
Parent Email *
example@example.com
Please read the PRIVATE LESSON POLICIES linked HERE BEFORE you sign below!
PARENT SIGNATURE REQUIRED: My signature below indicates that I understand the following:
- I will be paying a fee for private lessons for my student acoording to the selections I have made above.
- Private lesson fees are made at the beginning of each month, for the entire month.
- My student and I have read the Private Lesson Policies linked above.
- A late fee can be assessed should I not pay for my student's lesson on time.
- Any unpaid balances will cause a bar to be placed on their record and result in my student not being able to seek an exemption from finals or purchase tickets to school events such as prom.
Parent Signature *

Clear
Date *

Month Day Year
Date
Should be Empty: