Lesson Agreement | McFarlane Music

Welcome to McFarlane Music. Please complete this form to begin your musical journey.

1. Student Information

Full Name *

Date of Birth * Click the calendar icon to select a date

Age * Automatically calculated

Address *

Email *

Phone *

2. Emergency Contact

Name *

Relationship *

Phone *

3. Medical Information

All information is kept confidential and helps me provide the best possible teaching experience

Medical Conditions or Allergies (if any)

Learning Needs or Additional Support Required (if any)

Regular Medication (if any)

4. Lesson Details

Subject *

Please specify

Lesson Duration *

Lesson Format *

Preferred Day and Time *

Preferred Start Date *

5. Fees and Payment

Lesson Fee (per lesson) *

Payment Schedule *

Note: First payment covers your first lesson plus one week in advance

Weekly in advance (preferred)

Termly in advance

Monthly in advance

Payment Method *

Bank transfer (preferred)

Cash

6. Consent and Permissions

For students under 18:

I consent to my child attending lessons without a parent/guardian present

I wish to observe lessons / remain on premises during lessons

Recording consent (optional):

I consent to the Teacher making audio/video recordings for educational purposes

I consent to the Student making recordings for personal practice

Photography consent (optional):

I consent to photographs at recitals/events for promotional use

Communication preferences:

Phone

Text/WhatsApp

Important Reminders

Cancellations: 24 hours' notice required for make-up lessons
Payment: Must be made within 7 days of invoice
Notice period: Four weeks' written notice to terminate
Progress: Dependent on consistent practice between lessons
Term dates: Lessons follow Telford & Wrekin school calendar

7. Declaration

I confirm that:

I have read and understood this Lesson Agreement *

I have read and agree to the Terms and Conditions *

The information provided is accurate and complete *

I understand my obligations regarding payment, notice periods, and cancellations *

Music Lesson Agreement