Lesson Registration Form

*Call in for available lesson dates & times*
Lesson fees are charged to your credit card the first of each month. Notice by the last day of the month is required in order to stop lessons for the upcoming month. 
Central Penn Music Lesson Guidelines
To make your lesson experience a good one, please read the following policies. We have tried to
make our program as flexible and productive as possible:
**Your lesson time has been reserved for you and you are paying for that time slot. Your teacher will be
paid for that time whether you come or not. Please do your best to come at your regular lesson time.
**Lesson billing is according to the number of lessons each month at $29 per lesson. Most months will be
$116, but some months will have 5 weeks and some 3 due to holidays or teacher vacations and you will
be charged accordingly. Discounts apply for multiple students in a family. 2 different students or the same
teacher with multiple teachers will each receive a 5% discount. 3 or more students will each receive a 10%
discount. Hour lessons with the same teacher do not count as multiple lessons
**Weather or holiday cancellations will be posted on our website: www.centralpennmusic.com.
**If you must miss a lesson….
 At least 24 hours’ notice would be appreciated if you need to cancel a lesson, but if you give at
least one hour notice, you may schedule a make-up lesson if the teacher has time available. If your
teacher does not have any openings, or if the student cannot come during the teacher’s available
times, that lesson will be lost. Make-up lessons are not guaranteed. If the student is stopping
lessons, make-up lessons must be scheduled and completed before the date of the last lesson.
 If you do not show up for a lesson and did not call to cancel, or if you call less than an hour before
your lesson, there is no make-up.
 If the teacher cancels a lesson or the store is closed for a day due to weather closure, a credit for
that lesson will be issued for the next month of lessons. A qualified substitute teacher may be
provided if your regular teacher has an extended absence.
**As a courtesy to instructors at least 2 weeks’ notice is requested if you plan on stopping lessons. At the
latest, we need to know you are stopping lessons by the last day of the month in order to stop
billing for the upcoming month of lessons. Once the next month is billed, it cannot be reversed. A
“Lesson Termination Form” must be filled out to stop the lesson billing. Speak with a salesperson at the
counter in the store or go to www.centralpennmusic.com to complete this form with a CPM
**Please make any schedule changes through the store. It is very important that all schedule changes,
billing questions, etc., are done through the store (see a salesperson or call) and we will notify the teacher
of any changes.
**Please inquire if you have a special need such as an extended vacation that might require a
month absence. Provisions can often be made to accommodate that while maintaining your
appointment time.**
If you have any questions or concerns regarding your lessons or lesson policies, please feel free to call or
email us at centralpennmusicpalmyra@gmail.com.
Date of 1st lesson___________ Time___________
Teacher’s Name___________________________
I have read & agree to the lesson guidelines *

I hereby authorize Central Penn Music to charge my credit card on the 1st of the month for the number of lessons in that month. If submitted electronically your typed signature will count the some as a written signature. 
Sign here *
Secured by Formsite