Summer FLEX Lessons Registration Form

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

First NameLast Name
Choose Your FLEX Option
Virtual or In-Person (check all that apply)*

VirtualIn-Person
Instrument:*
Teacher Preference(if any):
What Days Are You Available:*
NOTE: Most lessons occur on weekday afternoons between 3pm and 8pm. Weekend lessons occur on Saturdays between 9am and 3pm
What Times Are You Available on the Given Days:*
What Weeks are You Available?*

June 12 - 16June 19-23June 26-30July 3-7 (closed 7/4)July 10-14July 17-21July 24-28July 31 - August 4August 7-11August 14-18August 21-25August 28-31
Age
School
Parent/Guardian Name(s)

First NameLast Name
Parent/Guardian Name(s)

First NameLast Name
Phone*

Area CodePhone Number
E-mail*
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Emergency Contact*

First NameLast Name
Emergency Contact's Phone*

Area CodePhone 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 instrument. 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?
Flex Lessons Policies:
- 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 unless a teacher cancels unexpectedly.
- If we cannot accommodate your request during the initial scheduling, you will be refunded. After that, payments are non-refundable.
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 NameLast Name
,am the parent/legal guardian of(skip if 18 or older)

First NameLast 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*

MonthDayYear
Choose Flex Lesson Option:
prevnext( X )
6 Lessons: 30 Minutes$330.00

6 Lessons: 45 Minutes$495.00

6 lessons: 60 Minutes $660.00

8 Lessons: 30 Minutes$440.00

8 Lessons: 45 Minutes$660.00

8 Lessons: 60 Minutes$880.00

10 Lessons: 30 Minutes$550.00

10 Lessons: 45 Minutes$825.00

10 Lessons: 60 Minutes $1,100.00

Total $0.00
Should be Empty:

Naptown Sings and Plays! Summer Private FLEX Lessons Registration Form

HEALTH INFORMATION

PERSONAL/PARENT/GUARDIAN AGREEMENT AND CONSENT