Summer FLEX Lessons Registration Form

Naptown Sings and Plays! Summer Private FLEX Lessons Registration Form
Student's Name *

First Name Last Name
Choose Your FLEX Option
Instrument: *
Teacher Preference(if any):
What Days Are You Available: *
What Times Are You Available on the Given Days: *
NOTE: Most lessons occur in the afternoons between 3p and 8pm, however, we may be able to accommodate earlier times. If you require an earlier time please let us know.
Age
School
Parent/Guardian Name(s)

First Name Last Name
Parent/Guardian Name(s)

First Name Last Name
Phone *

Area Code Phone Number
E-mail *
Home Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Emergency Contact *

First Name Last Name
Emergency Contact's Phone *

Area Code Phone Number
Contact's Relationship to Applicant *
Instrumental or Vocal Experience
How did you hear about Naptown Sings and Plays? *
If selected "from a friend" or "other" please specify:
NOTE: If the student is taking Guitar or Ukulele lessons, he/she is required to have his/her own guitar. Please check out your local guitar shop for purchasing and/or rental options. Some local stores are Bay Tunes Guitars, Music & Arts, and Garrett Park Guitars.
HEALTH INFORMATION
Allergies (if any)
Does the student have any medical conditions that the Studio should be aware of?
Naptown Sings and Plays! Summer FLEX Private Lessons Policies

Pricing Per Lesson:
30 Minute Lessons: $40 per lesson

45 Minute Lessons: $60 per lesson

60 Minute Lessons: $75 per lesson

Scheduling and Cancellation Policy:
- Flex lessons must be used between June 29th and August 31st 2020
- Lessons must be scheduled at the time of purchase. If you haven't already, e-mail info@naptownsings.com to schedule the exact dates.
- Students are expected to attend each scheduled lesson. Make-up lessons will not be granted during this time frame.
- If we cannot accommodate your request during the initial scheduling, you will be refunded. After that, payments are non-refundable.
I agree to the private lessons terms listed above:
Personal Signature or Parent/Guardian Signature (Please use your mouse or touch screen to draw your signature) *

Clear
PERSONAL/PARENT/GUARDIAN AGREEMENT AND CONSENT
I, *

First Name Last Name
,am the parent/legal guardian of(skip if 18 or older)

First Name Last Name
I have read the Naptown Sings! Private Lessons information above or on the info sheet for my respective program and understand the terms of signing up for my respective program.

I hereby give permission for myself or my child of whom I am the legal guardian to be a particpant in the "Naptown Sings!" Program. I understand that neither Sophia Hardesty, Naptown Sings!, its representatives or members, assume responsibility for any and all claims, injuries, damages, losses, or suits (including attorney fees), arising out of or resulting from the acts, errors or omissions by myself or my child. I will ensure that the student adheres to the vocal health guidelines set forth by the studio. I understand that the student is expected to attend all rehearsals as listed, and I understand and agree to the fees associated with the student's participation in the course.

Arbitration Clause: Any dispute arising out of this contract is subject to arbitration. The non-prevailing party will pay all expenses, including attorney fees associated with a dispute. In the event of a dispute, jurisdiction will be the state of Maryland.
Personal Signature or Parent/Guardian Signature (Please use your mouse or touch screen to draw your signature) *

Clear
Date *

Month Day Year
Choose Flex Lesson Option:
prev next ( X )
6 Lessons: 30 Minutes $ 240.00

6 Lessons: 45 Minutes $ 360.00

6 lessons: 60 Minutes $ 450.00

8 Lessons: 30 Minutes $ 320.00

8 Lessons: 45 Minutes $ 480.00

8 Lessons: 60 Minutes $ 600.00

12 Lessons: 30 Minutes $ 480.00

12 Lessons: 45 Minutes $ 720.00

12 Lessons: 60 Minutes $ 900.00

A-La-Carte Lessons: 30 Minutes Per Lesson $ 40.00

Quantity

A-La-Carte Lessons: 45 Minutes Per Lesson $ 60.00

Quantity

A-La-Carte Lessons: 60 Minutes Per Lesson $ 75.00

Quantity

Total $ 0.00
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Naptown Sings and Plays! Summer Private FLEX Lessons Registration Form

HEALTH INFORMATION

PERSONAL/PARENT/GUARDIAN AGREEMENT AND CONSENT