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Student Information Form

Please fill out and submit the following information and preferences regarding your music lessons:

All fields marked with an (*) are required

    -- If Student is Under 18 --

















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    Terms & Conditions

    (applicable to students, and/or parents/guardians if students are not yet 18)


    To sign up for at least 16 lessons, and to provide at least 4 weeks prior notice of termination of music lessons, by email to daniel@revolutionmusicint.com.To purchase from Revolution Music International any instructional materials required for the lesson content.To pay for monthly lessons on or before the 1st day of the month. If I should choose to pay more than once per month, I understand that I will pay $5 more per lesson, and that I won't have a guaranteed designated time slot.To provide at least 24 hours notice of cancellation of a scheduled lesson, or else I have one month to do a make-up lesson.To pay a $20 administration fee that will be charged upon signing up, and every January, May, & September.To not hold Revolution Music International, its locations, or any of the staff or teachers liable.

    Revolution Music
    8415 D 169 st NW Edmonton, AB T5R 2W7
    Monday - Friday: 8 AM - 5 PM
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