Registration
Please note, this is not an on-line submittable form due to
necessity of signatures for application.  It is available here
for convenience and information.  Please print out and bring
into studio for registration.  Please contact for other options.

ADW MUSIC - Student Registration Form

Student's Full Name___________________________

 Address ________________________________________

 City____________________________________________

Post Code __________________Home Phone _____________

Work Phone_______________   Cell Phone ________________

Email _______________________________________

 Date of Birth ___________________ Female ___ Male ___

 Emergency Contact Name/Phone _________________________

Name of Parent or Legal Guardian (if under 18) ________________

Please indicate any relevant medical/behavioural condition the student may have_______________________________

 ******************************************************************************************************************************************

 Instrument____________________

Experience (please include styles)__________________________

 If you are a former student of ADW MUSIC:

Name of previous teacher(s):________________________________________

Please tick as appropriate:

• I have a teacher I would like to study with,
  different from my former teacher __________________
• I wish to continue with same teacher as named above
• I am open to a new teacher/ I would prefer a new teacher

 TIME PREFERANCE:

Lessons are booked in 1 hour, or half hour slots;
please indicate the regular day and time as a first, second and
third choice for your spot for the year; time will be confirmed once
registration form is accepted. 45 minute lessons may also be possible:

 1) Day_______________Time__________________ Duration____________________

 2) Day_______________Time__________________ Duration____________________

 3) Day_______________Time__________________ Duration____________________

  *PLEASE NOTE: ALL INFORMATION FIELDS ON BOTH SIDES MUST BE
COMPLETED FOR YOUR REGISTRATION TO BE ACCEPTED*

STUDIO POLICIES AND PROCEEDURES

*Please note, for returning students, these policies and procedures
 have always been in place, they are not new, however we have included
them more clearly on the registration form in order to ensure the best
possible communication transparency.

 Lessons:

• Lessons at ADW MUSIC are ongoing throughout the year.
  Once registered, we require a minimum of ONE MONTH (calendar)
  WRITTEN notice to cancel (quit) lessons. There is a form below
  to fill if/when that time comes around for you. Until this written
  notice is given, it is understood that you are continuing with lessons,
  and you will be charged accordingly whether or not attending.
  Non-attendance to lessons does not constitute notice.
• Once you are registered, you are guaranteed that specific day and time.
  ADW MUSIC reserves the right to use substitute teachers, and
  or/re-book individual lessons where necessary. In very rare
  circumstances it may be necessary for ADW MUSIC to move a student
  to a different time and day. In all instances students will be notified as
  soon as possible in the event of a substitution or re-arrangement of lessons.
• We run a minimum of 2 in house recitals per year (usually 3), performance
  is an important part of music lessons, and experience has proven that
  students of all ages and abilities make immense gains from recitals;
  therefore we encourage all students to participate in all of our in-house
   recitals. Please note there are NO lessons during recital weeks.
• Students are responsible for providing their own instrument for lessons
  (with the exception of piano).
• Students are responsible for purchasing music and lesson books.
  Your teacher and/or ADW MUSIC personnel will guide you towards
  appropriate materials.
• Students must provide a scribbler for teacher feedback. Teachers will
  provide written feedback at each lesson in these scribblers.
  These scribblers will also be used for teaching purposes.
  It is very important that the student bring their scribbler to lessons weekly.
• Missed lessons can be rescheduled if agreed upon by student/teacher/studio.
  ADW MUSIC and its teachers are not obligated to ‘make up' (reschedule)
  if the student provides less than 1 week notice.
• It is possible to take small breaks from lessons and hold your place:
  the hold fee is an administrative fee which enables the student to take
  a hiatus and maintain their lesson day/time/teacher.
  The hold fee is equivalent to ½ month lesson fee for each hiatus month

Fees:

• All lesson fees are a flat rate, and that they are guaranteeing a
  specific time each week, as well as for the tuition itself. Lesson fees
  also include in house performance opportunities (recitals).
• Lesson fees are to be paid BEFORE normal closing by the first of
  any given calendar month. If the first of the month falls on a Sunday
  or Bank Holiday, lesson fees must be received BEFORE the first of the
   month (i.e. by closing the last operational day).
• Lesson fees can be paid by Cash, Interac Debit, Visa, MasterCard,
  or by Cheque.
• ADW MUSIC is happy to hold on file post-dated cheques if students/parents
  find this method more convenient.
• Any payments received after closing on the first of the month
  (or earlier as stated above) will be subject to a $25 late fee.
• Returned cheques will be subject to a $50 NSF fee

IN ORDER FOR YOUR REGISTRATION TO BE ACCEPTED,
YOU MUST TICK AND SIGN BELOW:

_____I confirm that I have read, understand and agree to the
policies laid out in this registration form

 PRINTED NAME ___________________________________

DATE ______________________

SIGNATURE (parent/guardian if student under
18 years of age at time of registration)

_______________________________________________

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

I hereby give notice to terminate lessons at ADW MUSIC. 
I understand that if/when I wish to re-register lesson times
and teachers will be subject to availability at re-registration.

(month)_______________________________will be

(student's name)__________________________'s
last month of lessons.

 Signed____________________________________________

Printed name_______________________

 Date_______________________________________________