Consultation Form

CONSULTATION FORM

Name:

Birthday:

If minor, please include parent’s name:

Address:

City:

State

Zip:

Home #:
Work #:
Cell/Pgr #:

Best Time to Call (Day)

Best Time to Call (Night)

e-mail:

TDL#

SSN

Act Name:

Producer’s Name:

Management’s Name:

Record Company:

Employer:
Occupation:

Emergency Contact (name)

Phone#

Relation to student

How did you hear about Beinhorn Vocals?

CANCELLATION POLICY

Two or more days before lesson...N/C
Day Before Lesson......1/2 Price
Day of lesson .......Full Price
No Show.........Full Price
Returned check fee....... $25.00

Major Credit card #

Exp date

Name as it appears on card

I understand that sessions not cancelled 48 hours in advance will incur a cancellation charge.


Name:
Birthday:
If minor, please include parent’s name:
Address:
City:
State
Zip:
Home #:
Work #:
Cell/Pgr #:
Best Time to Call (Day)
Best Time to Call (Night)
e-mail:
TDL#
SSN
Act Name:
Producer’s Name:
Management’s Name:
Record Company:
Employer:
Occupation:
Emergency Contact (name)
Phone#
Relation to student
How did you hear about Beinhorn Vocals?
CANCELLATION POLICY Two or more days before lesson...N/C Day Before Lesson......1/2 Price Day of lesson .......Full Price No Show.........Full Price Returned check fee....... $25.00
Major Credit card #
Exp date
Name as it appears on card
I understand that sessions not cancelled 48 hours in advance will incur a cancellation charge.