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5828 Santa Teresa Blvd

San Jose, CA 95123-4035


408-578-4800
Fax: 408-225-0720
www.ApostlesSJ.org/School

Instrumental Program at Apostles Lutheran School


We are thrilled that your child has an interest in the instrumental program offered at Apostles for grades 3-8! What a

ENROLLMENT/AGREEMENT FORM
blessing and joy it is for your child to learn and develop these musical gifts! It is our prayer that this experience will be
enriching for your child and your entire family. We are thankful that Mr. Chris Reed will be serving our students this year
as the instrumental instructor. Julie Tjernagel will be serving as facilitator of the program (scheduling, etc.). We are happy
to provide the space to the instructor, and we also happy to allow our students to take lessons during the week. This
program, as you might know, isn’t an “Apostles program.” It’s a program that our school facilitates. Our school sets the
fees and creates the schedule, but the program itself is an arrangement between the instructor and the family.

Following are statements and policies that we would like to present to parents for their review and for their indication of
agreement, before their children begin the instrumental program.

We (I) agree with and support the following statements:


• We (parent and child) understand that the instrumental program is a commitment, and that we intend to commit to
a full school year of instrumental instruction. If special circumstances arise that make it difficult or impossible
to honor this commitment, we will discuss the situation with the instrumental instructor before removing him/her
from the program.
• We understand that we will contact the instrumental instructor if we have any concerns or questions related to the
program.
• We understand that our child needs to be prepared for each lesson. We will do our best to insure that our child has
his/her materials on lesson day and has had the necessary practice time before each lesson.
• We understand that we are to make our monthly payments in a timely fashion. We understand that payment is
to be made to the instructor by the last lesson of each month or our child will be removed from the program
until such a time as full payment has been made.
• We understand that a non-refundable instrumental registration fee of $20.00 per family is due at the time of
registration. This fee will be paid to Apostles School, not to the instructor.
• We understand that scheduling is a challenge due to the number of children in the instrumental program, and we
therefore accept the lesson day and time as assigned. We understand that great effort is taken in order that
students do not miss “meaty” classes, but that this is not always possible. We will, therefore, address any
scheduling concerns to Miss Tjernagel with the understanding that our requests may not be able to be
accommodated.

Further information about instrumental lessons:


• Group lessons are one-half hour each week at a rate of $10.00 per lesson.
• Individual trumpet lessons are available with Sandra Laverty at one-half hour each week at a rate of $20.00 per
lesson.
• A band session is also available at one-half hour each week at a rate of $8.00 per session.
• Parents are billed on a monthly basis. Students who forget their lesson books or have not practiced will still be
charged for their lesson.
Instrumental students need to have an instrument at home for practice in between lessons.
Revised 8/27/09
INSTRUMENTAL INSTRUCTION SIGN UP

I have read the attached Instrumental Enrollment Agreement Form and agree to the conditions stated.
I would like to enroll my child ___________________________________________________________
(name) (grade)
in group instrumental lessons. I understand the cost as indicated in the agreement form.

Clarinet_____ Drums_____ Flute_____ Guitar_____ Saxophone_____ Trumpet_____

_____ I would also like to enroll my child in the weekly band session.

_____ I am interested in individual trumpet lessons with Sandra Laverty for my child.

_____ I realize that individual lessons in other instruments may not be available, but would prefer
individual lessons for my child.

Numbers of year’s lessons have been taken:

Parent’s Signature:

INFORMATION ABOUT THE REGISTRATION FEE

*************************************************************************************

The registration fee monies will be put into an account for development of the instrumental program. This is a non-
refundable $20 fee per family not per student.

For Office Use Only


Form recv’d ____/____/____
Parent Signature: Y N
$20 fee paid: Y N NOT PAID Revised 8/27/09
Method: CASH CHECK #
To Miss Tjernagel: ____/____/____

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