Wait List - Avalon Music Academy of Holland

NEW STUDENT MUSIC LESSON WAIT LIST

ARE YOU LOOKING FOR A SPECIFIC DAY, TIME, OR TIMERANGE THAT ISN'T AVAILABLE RIGHT NOW? GET ON OUR WAIT LIST AND WE WILL CONTACT YOU AS SOON AS THAT SPOT IS AVAILABLE. ENTER YOUR INFORMATION & YOU'LL BE ALL SET TO TAKE THAT SPOT!

BE SURE TO FILL OUT EACH SECTION OF THE FORM BEFORE YOU CLICK SUBMIT AT THE BOTTOM. ALL FIELDS NEED TO BE FILLED OUT FOR THE FORM TO BE SUBMITTED CORRECTLY.

* Indicates required field

STUDENT NAME *

First

Last

STUDENT BIRTH DATE (MM/DD/YY) *

MALE / FEMALE / OTHER *

INSTRUMENT *

DAY / TIME / TIMERANGE DESIRED *

PARENT / GUARDIAN NAME (STUDENT NAME IF ADULT) *

First

Last

HOME Address *

Line 1

Line 2

City

State

Zip Code

Country

Contact Phone Number *

Contact Email *

POLICIES & PROCEDURES

1. RELEASE OF LIABILITY
I waive the right to any legal action for injury or property loss sustained on school property resulting from normal classroom activity or any other activity conducted by the student before, during, or after lesson time. I give Avalon School of the Arts permission to use my/my child's photograph in print or website publications.

Click to indicate that you understand and accept. *

YES

2. TUITION
All payments are processed by pre-authorized credit cards prepaid monthly on the first week of the month. Registration fee is $25 for new students and re-enrollment. Registration & first month (pro-rated to start date) are charged upon registration. Private lessons are $30.00 per week billed monthly for weekly 30 minute sessions at our location or online. Tuition is never prorated for missed lessons. Tuition does not include any retail teaching materials such as books or instruments. A receipt will be emailed to the email address on for your account. All charges will appear on your bank statement as Avalon School of the Arts.

CLICK TO INDICATE THAT YOU UNDERSTAND AND ACCEPT. *

YES

3. NSF PAYMENTS & PAYMENT DENIALS
I hereby authorize Avalon School of the Arts to electronically charge my credit card or bank account for the amount of any NSF or payment denial transactions plus a $25 NSF/Payment Denial fee.

CLICK TO INDICATE THAT YOU UNDERSTAND AND ACCEPT. *

YES

4. MAKEUP LESSONS
The most important thing when learning a musical instrument is consistent weekly engagement. For any lessons missed by the teacher, a makeup lesson will be scheduled promptly. If the teacher is absent and a makeup lesson is not possible, we will issue a credit for the lesson. If the student is absent for a lesson, the teacher will post a detailed personalized make-up lesson to the student’s online journal during their normally scheduled lesson time with video, text, and attachments. This ensures students (and parents) remain engaged and informed, even when they miss. We do not issue credits for student absences, even when prior notification is given.

CLICK TO INDICATE THAT YOU UNDERSTAND AND ACCEPT. *

YES

5. DISCONTINUING LESSONS
To discontinue lessons and to discontinue charges to your account, you must fill out the withdrawal form and hand it in to the office before the 15th of your last month, or the next month will be charged. Withdrawals are not accepted over the phone, via email, or to the teacher. We do not prorate tuition for the last month’s lessons. Students are responsible for their last month’s tuition whether or not they attend lessons. Avalon reserves the right to terminate lessons of any student without notice. In such a case a refund for unused lessons will be given.

CLICK TO INDICATE THAT YOU UNDERSTAND AND ACCEPT. *

YES

6. INCLEMENT WEATHER POLICY
In the event of inclement weather (Avalon School of the Arts observes West Ottawa Public Schools inclement weather days) lessons will be held online that day (Zoom, Skype, or FaceTime). If the student is unable to do an online lesson, a personalized video lesson will be posted in the students’ online journal. If roads are clear we will notify students that we are open by 1pm.

CLICK TO INDICATE THAT YOU UNDERSTAND AND ACCEPT. *

YES

7. MEDICAL EMERGENCIES
I give Avalon School of the Arts, it's owners and employees permission to seek medical treatment for the student in the event that they are unable to reach a parent or guardian. I hereby declare any physical/mental problems, restrictions, or conditions and/or declare the student to be in good physical and mental health.

CLICK TO INDICATE THAT YOU UNDERSTAND AND ACCEPT. *

YES

8. CONTACT INFORMATION
I understand that it is my responsibility to have accurate contact and billing information on file with Avalon School of the Arts at all times. Billing information, mailing address, phone numbers and email addresses can be updated in person at the front desk or over the phone (616) 294-1483.

CLICK TO INDICATE YOU UNDERSTAND AN ACCEPT. *

YES

9. BEHAVIOR EXPECTATIONS
Students are expected to be well-behaved and respectful toward students and teachers both in lessons and in common areas. Students who are repeatedly disruptive and disrespectful, or whose behavior is a danger to themselves or others, may be asked to leave and have their enrollment revoked.

CLICK TO INDICATE THAT YOU UNDERSTAND AND ACCEPT. *

YES

Digitally sign here that you have read, understand, and agree to abide by these policies: *

TODAY'S DATE (MM/DD/YY) *

Submit