Sample Contract/Student Profile 2017-2018

Posted by Bethany Watt in Uncategorized on August 2, 2017.

2017-2018
Student Profile: Please fill out this form and return it.

Parent’s Name _________________________________________________________

Address________________________________________________________________
city________________________________ state______________ zip_______________
Telephone Number
home________________ work___________________ cell________________________
Email address___________________________________________________________

Student 1: Name ______________________________________________________
Age_______________ Birth date_____________________________________________
Grade Level______________ School _________________________________________
Years playing the violin_____ Proficiency Level/Most Recent Piece Learned__________
________________________________________________________________________
Does your child play in an orchestra (school/CKYO/etc)? Yes/No
If yes, where _____________________________________________________________
How long _______________________________________________________________

Student 2: Name ______________________________________________________
Age_______________ Birth date_____________________________________________
Grade Level______________ School _________________________________________
Years playing the violin_____ Proficiency Level/Most Recent Piece Learned__________
________________________________________________________________________
Does your child play in an orchestra (school/CKYO/etc)? Yes/No
If yes, where _____________________________________________________________
How long _______________________________________________________________

Student 3: Name ______________________________________________________
Age_______________ Birth date_____________________________________________
Grade Level______________ School _________________________________________
Years playing the violin_____ Proficiency Level/Most Recent Piece Learned__________
________________________________________________________________________
Does your child play in an orchestra (school/CKYO/etc)? Yes/No
If yes, where _____________________________________________________________
How long _______________________________________________________________

Fall 2017

*Minor Student Contract: The parent must read and sign before lessons can begin.

I,_________________________, as the parent or legal guardian of ________________________, have read and understand the rules and obligations as they are outlined in the studio policies which have been provided both in writing and at www.wattviolin.com. I understand that failure to follow these rules (including rules regarding regular practice, listening, and participation in studio activities), either by myself or by my child, can lead to the termination of my child’s lessons. I further understand that all financial obligations must be paid before lessons begin. I am aware that I am obligated for the entire semester, regardless of the payment option I have chosen. Payments may be made by cash, check, or credit card. Please make checks payable to Bethany Watt for all private and group lessons. Credit card payments are processed by Paypal and will incur a processing fee.
Payment Option: Please circle the number of the option that you choose and initial by the number. Students taking part in group class must also select item 3:

1—I choose to pay for lessons on a semester basis. My check for
the semester will be presented at the first lesson.

2—I choose to pay for lessons on a monthly basis. My check for
each month will be presented at the first lesson of the month.

3—My student will be taking part in group class activities. My
payment for group class is due in full at the first class meeting.

Please mark one:
___ You MAY share my student’s image (photo/video) on the Watt Violin Studio
Website or Facebook Page.
___ You MAY NOT share my student’s image (photo/video) on the Watt Violin
Studio Website or Facebook Page.

Please mark one:
___You MAY share my email address with other parents for lesson trading.
___You MAY NOT share my email address with other parents for lesson trading.

__________________________________ ____________________________
Name Date

Student Contract: The student must read and sign before lessons can begin.
As a student of Bethany Watt, I understand that I must come to lessons on time, prepared, and with a positive attitude for lessons to be successful. I understand that I must practice and listen on the days that I do not have lessons. I also understand that the teacher may terminate my lessons if I do not meet these requirements.

________________________________ ____________________________
Name Date

________________________________ ____________________________
Name Date

________________________________ ____________________________
Name Date

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