YAMAHA MUSIC SCHOOL
yamaha lesson notice Form - F91
If you would like to withdrawal from Yamaha music lessons, please use the following form to give us notice
Top of Form
Student's First Name :________________________ Student's Last Name :___________________________
Parent/Guardian's First Name:__________________ Parent/Guardian's Last Name:____________________
Lesson Name: Music Fantasy/ Music Wonderland/ JMC/ YMC/ JXC/ JAC/ JNC/ JSAC/ Private/ Adult/ Other:________________________________________________________________________________
Lesson Start Time:____________________________________
Reason for withdrawal: No enough interest/ Cost/ Time commitment/ Location/ Yamaha Music school policy
/ Not enough availability/ Teacher/ Other:_____________________________________________________
Will you attend your final lessons? Yes/ No
Bottom of Form
When will my lessons end and tuition stop being billed?
If withdrawal is submitted on or before the 1st of the current month:
Lessons will continue until the end of the current month and you will not charged the next month’s tuition. Students are billed regardless of attendance during the final lessons.
If withdrawal is submitted after the 1st of the current month:
Lessons will continue until the end of the next month and you will be charged full tuition for current month. Students are billed regardless of attendance during the final lessons.
Office use Only
Date received:________________________ Staff name and initial:____________________________________________
Stop Auto Payment set up:____________________________________________________________________________