RockNation Sign Up Form
Student & Program Information


Student Name *
Student Name
Address
Address
Home Phone
Home Phone
Mobile Phone
Mobile Phone
How did you learn about SoundLab RockNation Music School?
Parent Name
Parent Name
(if student is under 18)
LESSON/ PERFORMANCE PROGRAM CONTRACT
• Monthly tuition is for one forty-five minute lesson per week, at a time reserved for you, the student, whether or not you attend. NO REFUNDS WILL BE GIVEN/ ONLY THE FIRST MONTH CAN BE PRO-RATED. Tuition is due by the first lesson of each month. • Monthly performance tuition is for a two-hour group band format lesson each week. • Any lesson canceled by your instructor will be rescheduled or credit will be give at the discretion of the instructor • School closing holidays are: New Years, Independence Day, Labor Day, Thanksgiving, and Christmas. • Young students should be accompanied into and out of the lessons by a parent or guardian. • All student activities are subject to video taping for security, training, and marketing purposes. Your signature shall indicate your agreement to these terms. • NOTICE: LESSON CANCELLATION IS NOT AUTOMATIC! Please inform your instructor or the front desk before the last day of the current month if you do not wish to continue lessons. You may also contact us via email, or leave a message on our answering machine after hours. CANCELLATION IS YOUR RESPONSIBILITY. YOU WILL CONTINUE TO BE BILLED UNTIL YOU CONTACT US.
Program Selected:
*
DO YOU KNOW ANYONE ELSE THAT WOULD ENJOY SOUNDLAB ROCKNATION? EACH REFERRAL THAT ENROLLS WILL ENTITLE YOU TO A 10% DISCOUNT OFF YOUR NEXT MONTH’S TUITION!
Referral 1
Referral 1
Referral 1 Phone
Referral 1 Phone
Referral 2
Referral 2
Referral 2 Phone
Referral 2 Phone
Referral 3
Referral 3
Referral 3 Phone
Referral 3 Phone