Trinity Recurring Payment Form

RECURRING PAYMENT FOR 10 MONTHS AT $65 PER MONTH PLUS REGISTRATION FEE

IF ENROLLING MORE THEN ONE CHILD, PLEASE FILL THIS FORM OUT FOR EACH CHILD WHO PLANS ON PARTICIPATING IF USING THE RECURRING PAYMENT OPTION.

*Make-up lessons for missed classes will be available but are not guaranteed

 

Please complete the form below

Student Name *
Student Name
Parents/ Guardians Name *
Parents/ Guardians Name
Phone With Text *
Phone With Text
What Instrument/instruments are you going to be taking lessons on? *
Agreement *
I understand that this is a 10-month billing program being provided by The Modern Music Academy. I also understand that the commitment is for the full 10 months and if my child quits and or chooses not to come to lessons, concerts, and opts out of participating I will be responsible for fulfilling the payment terms of this agreement.