BassX: "Basic Bass Guitar Playing Taught"

se complete the following form in full. Once complete, please review the BassX: Bass Playing Taught Policies further below, then sign the bottom of this form and return to [email protected]. Student’s Full Name:
Student’s Date of Birth:
Student’s Street:
Student’s City:
Student’s State:
Student’s Zip Code:
Student’s E-mail:
Student’s Primary Phone:
Student’s Cell Phone:
Emergency Contact’s Full Name:
Emergency Contact’s Primary Phone:
Emergency Contact’s Cell Phone:
Emergency Contact’s Email:

Where did you hear about BassX: Bass Playing? Do you have reliable transportation to and from the Tampa, FL area? Currently, how many total hours do you play bass in an average week? How long have you been playing bass guitar in months? Do you play any other musical instruments? Can you read standard notation? How do you learn BEST? Reading? Writing? Listening? Watching? Hands-On? Combination or some other way? What current equipment (bass, amp, picks, cord, etc.) do you have or plan to buy prior to your first lesson? Please tell me about your musical background and any previous musical teachers or self-study. Other Relevant Information (Audio or Visual Impairments, Known Allergies, Disabilities, etc.):

Who is your favorite bassist and why? What do you want to get out of bass lessons? Do you have any specific goals or expectations in mind? Do you have any questions or suggestions for me at this time?

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BassX: Bass Playing Taught Policies
Payment Policy

Tuition must be submitted at least three days prior to starting a paid lesson or class. The student is considered enrolled for a lesson or class once the tuition and registration form has been received. The student's fee for non-sufficient or uncollected checks is $30. Attendance and Make-Up Policy

At the beginning of any tutelage, specific days and times for lessons are agreed upon between students and the studio. If the student is late to a lesson, any make-up time given at the end of the lesson will be at the studio's discretion. Regular attendance is expected. As soon as possible the student should notify the teacher of any absence or tardiness by calling and/or texting (656) 200-0520.

* Cancellations within 24 hours of the lesson will be forfeited.
* No-shows will also be forfeited.
* Make-up lessons are only available within 14 days (before or after) the canceled lesson and must be requested by the student in writing.
* Make-up lessons cannot be carried over to the next regular lesson.
* If a teacher is absent or otherwise unavailable, a make-up lesson will be scheduled at the teacher’s discretion.
* Make-up lessons cannot be rescheduled once they are booked.
* If the student misses a scheduled make-up lesson, that lesson will be forfeited.
* Postponing the lesson planned is only allowed under extenuating circumstances and must be requested in writing. BassX: Bass Playing Taught reserves the right to discontinue the lesson if the postponement exceeds three months in length. Refunds are not given in this case. Bad Weather Days

BassX: Bass Playing Taught may close due to inclement weather. BassX: Bass Playing Taught will send an email regarding any such cancellations. Make-up lessons may be rescheduled at the discretion and availability of the teacher. Registration/Refund Policy

Students are considered registered until BassX: Bass Playing Taught receives and approves a written request to withdraw. Notification of withdrawal from lessons or classes must be received in writing by BassX: Bass Playing Taught and is effective from the date the written withdrawal is received, not the date of the last lesson attended. Verbal teacher notification is not considered formal notice of withdrawal. A student's lesson will be canceled if two or more lessons are missed without written notification and the remainder of the tuition fees are forfeited. If a student discontinues a formal teaching arrangement with BassX: Bass Playing Taught before the third lesson of the scheduled days and times, a refund will be given for 50% of the remaining tuition. Refunds will not be issued after the third lesson except under certain circumstances and with a written request. In the event of prolonged absence due to an emergency, written requests for refunds will be considered on a case-by-case basis by BassX: Bass Playing Taught. Bassx™: Basic Bass Guitar Playing Taught reserves the right to discontinue a student’s participation in lessons at any time if the teacher is made to feel uncomfortable by the student in any way, shape, or form. BassX: Bass Playing Taught also reserves the right to suspend a student’s study if a required tuition payment has not been made within two weeks of its due date. The full tuition is still owed in this case regardless of whether or not the lessons are reinstated. Liability

By enrolling at BassX: Bass Playing Taught, students, parents, or legal guardians agree that BassX: Bass Playing Taught shall in no manner be liable for any accident, injury, loss, theft, or damage which may be sustained on the premises in conjunction with any studio-related activity or function. Children under the age of 12 may not be left unattended on BassX: Bass Playing Taught premises. Children (under the age of 12) arriving for lessons or classes are to be escorted to their teacher and met in the waiting entryway at the end of each lesson. BassX: Bass Playing Taught is not responsible for musical instruments or any personal belongings left on the premises. The student is responsible for any damage to the studio's property that he/she incurs. I understand that in the event of any default, BassX: Bass Playing Taught may declare the entire unpaid balance to be immediately due and payable, and if BassX: Bass Playing Taught then assigns this agreement to a collection agency for recovery, the student will also be responsible for up to 30% of the unpaid principal balance as the reasonable cost of collection. I understand that any lawsuit over the terms of this agreement shall be brought within the courts of Florida and governed by the laws of that state. Accordingly, the parties hereby subject themselves to the jurisdiction of those courts. Should such a dispute result in any term being declared contrary to those laws, the remaining terms shall still be binding. The losing party will pay all reasonable and necessary costs (including attorney fees) of any lawsuit to enforce this agreement. Privacy

Your privacy is protected. Personal information on file with the BassX: Bass Playing Taught is used solely for the purpose of maintaining studio records. BassX: Bass Playing Taught will not share or sell your personal information. We do not send spam e-mails. Your e-mail address is only used for studio-related notifications and announcements. By enrolling at BassX: Bass Playing Taught you agree to uphold its policies, procedures, and tuition plans. Policies are subject to change without notice. I have read and understood the BassX: Bass Playing Taught Policies listed, and agree to abide by the guidelines and policies listed. Printed Student Full Name (or Parent/Guardian):


Signature of Student (or Parent/Guardian):


Date: