Student Enrollment Agreement
Michael Sasaki, Guitar Instructor
(510) 375-7121
email: teacher@NohEscape.com
1.
This program will include _______________________________ (student) with Michael Sasaki
for ________________ lessons.
2. Student (Parent/Guardian) agrees that student’s cancellation of or failure to attend lessons shall
not absolve Student(Parent/Guardian) of the obligation to make payment to Michael Sasaki, in the
amounts and on the dates specified in this agreement.
3. In the event Student is late for scheduled lessons, said lessons shall continue in accordance with
the scheduled time allotted for the same.
4. In the event that Michael Sasaki cancels the lesson due to illness, etc.; Student will not be
charged and a credit will be given to the Student the following month.
5.
The Student (Parent/Guardian) agrees that Michael Sasaki will not be obligated to provide lesson
which fall during the following holidays: Memorial Days, July 4th, Labor Day, Thanksgiving,
Christmas Eve, Christmas Day.
6.
Payment for services provided for by this Agreement shall be made by Student (Parent/Guardian)
in the following manner, _________ upon execution of this agreement (2 months tuition), and
________ each consecutive month thereafter until this Agreement is terminated by either party.
Pro-rating of lesson fees are available for the first month of sign-up only.
7. It is further understood by Student (Parent/Guardian) that said fees are due to Michael Sasaki
on
the 1st lessons of each month. A late fee of $8.00 will charged if the payment is not received
by the second lesson. A $15.00 fee will be charged for all checks returned by the bank.
(Price subject to change)
8. Should an increase in fees be necessary, Michael Sasaki agrees to give Student thirty (30) days
prior notice before increasing said fees.
9. Termination Policy: Student may terminate this Agreement after three months by giving written
to Michael Sasaki by the 10th of the final month. ________(initial)
10. In the event that written notice to terminate is not given to Michael Sasaki by Student)
(Parent/Guardian), this Agreement shall be considered to be in full force. ________(initial)
11.
In the event this Agreement is terminated, Student (Parent/Guardian) shall be obligated to make
payment to Michael Sasaki through the termination date.
12. Rate for each lesson based on half hour session. Lesson will be held once weekly. There may be an
additional 5th lesson in a month depending on the calender days.
Student _________________________
Lesson Day and Time: _________________
Address: ________________________City ____________________Zip__________
Phone: ______________(home) __________________(work) _____________(cell)
Email address: ___________________________________
Parent or Guardian if under 18 _________________________Start date: _________
Signature _________________________________________Date _______________
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