Becky Wszalek Music Studio

Logistics Form

Liability Waiver:
I (student name/guardian name) ___________________________
agree that I will not hold Rebecca Wszalek liable for any accidents, injuries (on
property, inside building, performances), illness or disorders (present and future)
or for the loss or destruction of any personal property.
Acceptance of Terms:
I (student name/guardian name)_____________________________
have read and fully understand all of the above policies and waivers. I further
acknowledge and agree that: I am responsible for payments as well as any fees for
checks that are returned due to insufficient funds. By my signature on this form,
I agree and accept all of the above conditions. I also realize students may be
photographed, recorded, and/or videotaped from time to time, and my initials
_____ on this form releases Rebecca Wszalek from all liability of use of this
material.
Phone Number:________________Emergency Contact:_____________________
Student Printed Name :_____________________________________________
Signature of Student (or Parent if student is under 18):
____________________________________________________________________
Date:_________________________

Becky Wszalek Music Studio Lesson Contract

With such a high demand for lessons, I felt it necessary to write up a contract/rule sheet. I
believe that all of our time is valuable and I want to make sure everyone is clear on how lessons
will be conducted. Students (or Parents and students) should read the information below, sign
and date it, and return it to me at the next lesson.
Credentials-You are taking lessons with me because you trust that I know what Im doing. I hold
a Bachelor of Music degree from James Madison University in Music Education with a vocal
concentration. I have completed some post baccalaureate work including my first year of Kodaly
training. I taught elementary general music for eleven years in the public school system (what I
accomplished there could fill volumes). Additionally I have led childrens church choirs, served
as a guest clinician, soloist and coordinated many musical events.
Teaching- This contract affirms that I, Becky Wszalek will provide you the student with a quality
lesson program. I will strive to modify my teaching to suit your learning style, needs and in some
cases your wants. Each student will receive specifically designed instruction to help them
become better musicians. I will also continue my study and practice of piano and voice on my
own time as I continue to better myself as a musician. Never stop learning!
Payment-For these services payment will be expected at the conclusion of each lesson or at the
beginning of each month (whichever is easiest for you). I may also consider bartering services.
Inquire in person. If your financial plans change and you can no longer attend lessons with me I
will require 2 weeks notice and you will be missed
Absences-If for some reason you need to miss a lesson please let me know 24 hrs. in advance. If
this courtesy is not met you will still be responsible for paying half of that days lesson fee. In
cases of true Emergency that fee will be waived. There may be times I need to cancel lessons
(sick children) and I will let you know ahead of time as much as possible. I will reschedule a
lesson that I have cancelled. I will also try to reschedule a lesson you have given me proper
notice for. I will not reschedule a lesson if you are a no show .
Practicing- This is very important!! You cant get better if you dont practice. If I ask you to
practice a set amount per week I expect you to try your best to meet that goal. I do not expect
you to bend over backwards, do flips and lasso the moon but I do expect you to try. You get out
of it what you put into it!
______________________________
Parent Signature (if applicable)

Date:_________________

______________________________
Student Signature

Date:_________________