Cameron Carbone Drum Lesson Agreement Form

Join 500+ students who have chosen me as their drum teacher! Read what they have to say here.

Please fill out this form to completion to reserve your new drum lesson slot (pending availability). If you have any questions, feel free to reach out to me via email anytime at ccarbonedrums@gmail.com.

Basic Info:

Student's Full Name

Student's Date of Birth

Parents' Names (if student is under the age of 18)

Email

Phone Number

How would you like to take lessons?

In-Person (my studio in Garland, TX)

Virtual (FaceTime or Zoom)

How long have you been playing drums?

I'm Brand New

1-3 Years

3-7 Years

7+ Years

Scheduling:

Please check all boxes that would work with your schedule

Lessons on Saturdays - sometime between 12pm-7pm

Lessons on Sundays - sometime between 11am-8pm

Lessons on Mondays - sometime between 3pm-9pm

None of the aforementioned lesson slots work for me

If none of the aforementioned lesson slots work for you, what are your available options (days and timeframes) during the week?

*Please use this box to share any additional information about your schedule, so that I can schedule you effectively. The more information you can provide, the more I can help you!*

Lesson Info:

Based on the available lesson packages on my website (www.cameroncarbone.com/lessons), which one would you like to select?

2x per month @ 60min each ($299.99 mo.)

2x per month @ 75min each ($359.99 mo.)

4x per month @ 60min each ($499.99 mo.)

4x per month @ 75min each ($599.99 mo.)

Which payment app/medium do you prefer?

Zelle

Venmo

PayPal

CashApp

What is your username/handle/email associated with your preferred payment method listed above?

Coupon Code (if any)

How did you hear about these lessons?

What would you most like to improve or focus on?

Policies

By checking the boxes below, I confirm I've read and agree to the following studio policies:

I understand that lesson packs require a 6-month commitment, continuing month-to-month thereafter.

I agree to give 30 days’ notice by email if I wish to pause or cancel lessons after the initial 6 months.

I understand that if I miss a lesson without 48 hours’ notice, I forfeit the session (except for emergencies).

I confirm that I agree to the policies above and am officially requesting lessons

Signature field is empty.