Cameron Carbone Drum Lesson Sign-Up

[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 trial lesson slot (pending availability). If you have any questions, feel free to reach out to me via email anytime at cam@cameroncarbone.com

Basic Info:

Student's Legal Name

Student's Preferred Name

Student's Date of Birth

Parents' Names, Email, & Phone Number (if student is under the age of 18)

Phone Number

Country & City

Student Intake:

How would you like to take lessons?

In-Person (my studio in Austin, TX)

In-Person (Paragon Drums studio in Dallas, TX)

Online (via FaceTime or Zoom)

How long have you been playing drums?

I'm Brand New

1-3 Years

3-7 Years

7+ Years

What are the top 1-2 things you want to improve?

What would make this Trial Lesson valuable to you?

Link to a short playing video, if available:

How did you hear about these lessons?

Scheduling:

Lesson times are subject to availability. Cameron Carbone will confirm the final dates and times of all lessons via text or email on the 26th of each month.

The student may request one reschedule per month by giving at least 48 hours’ notice. Rescheduling is subject to availability.

If the student cancels with less than 48 hours’ notice, fails to attend, or cannot participate because of preventable technical or scheduling issues, the payment is nonrefundable and the lesson may be considered used.

If Cameron Carbone must cancel or cannot provide a scheduled lesson, the student may choose either:

1. A mutually agreed replacement time; or

2. A full refund of the lesson payment.

If the student arrives late, the lesson will still end at the originally scheduled time unless Cameron Carbone has the ability to extend it.

Please check all boxes that would work with your schedule

Lessons on Saturdays - sometime between 11am-8pm

Lessons on Sundays - sometime between 11am-8pm

Lessons on Mondays - sometime between 12pm-9pm

None of the aforementioned lesson slots work for me

If none of the aforementioned time ranges work for you, please use this box to share any additional information about your schedule, so that I can schedule you effectively. The more information, the better.

For in-person lessons, the student agrees to follow all reasonable studio, building, safety, and scheduling rules communicated before or during the lesson.

Payment:

The minimum commitment for the listed lesson packages is 6 months. Payments are due on the 26th of each month using your selected payment method (below). The student remains responsible for all payments regardless of attendance, except where this Agreement specifically provides otherwise. After the 6-month commitment ends, lessons will continue on a month-to-month basis and will require a minimum of 30 days advance written notice to completely cancel (submitted via email at cam@cameroncarbone.com)

Which lesson package would you like to select?

2x per month @ 60min each ($299 a month)

2x per month @ 75min each ($359 a month)

4x per month @ 60min each ($539 a month)

4x per month @ 60min each ($659 a month)

Monthly lesson payment must be received before lessons can begin. My payment information for sending your payment: Zelle: 972-207-2142 Venmo: @ccarbonedrums PayPal: https://www.paypal.com/paypalme/CameronCarbone

CashApp: carbonedrums All payments must be sent using "Friends/Family" option to avoid fees.

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?

Optional Scholarship Contribution -- I would like to contribute $_____ per month toward drum lessons for a student with financial need.

Add the aforementioned scholarship contribution to my monthly payment.

Online Lesson Terms

For online lessons, the student is responsible for having a functioning device, internet connection, camera, microphone, and a suitable space to participate. Facetime is generally used for online lessons, with either Zoom or Discord as back-up options if Facetime is unavailable.

Recommendation: have an external device (that will not be used for lesson video feed) connected to a speaker for playing the metronome out loud during lessons.

Cameron Carbone is not responsible for delays or interruptions caused by the student’s equipment, internet connection, software, or environment.

Practice & Results

The student understands that progress depends partly on attendance, practice, preparation, communication, and applying feedback. Cameron does not guarantee a specific technical level, speed, performance result, or timeline.

Health & Safety

The student is responsible for determining whether drumming and physical practice are appropriate for them. The student agrees to stop or modify an exercise if they experience pain, dizziness, numbness, or other concerning symptoms and to seek qualified medical advice when appropriate. The student agrees to inform Cameron Carbone before the lesson of any relevant physical limitation, injury, or condition that could affect participation.

Recording/Use of Content

Select all that apply:

I consent to lesson-related recording for private instructional use.

I consent to Cameron Carbone using my image, voice, playing, or testimonials for marketing purposes.

I consent to Cameron Carbone voice recording portions of my drum lessons for drum education-based AI training.

Communication Consent

I consent to receive lesson-related communications by email and text message, including scheduling, reminders, payment confirmations, and follow-up.

I agree to receive separate promotional messages.

I do not consent to promotional messages. Lesson-related communications are still permitted.

Agreement & Acknowledgement

By checking the box below and signing, I confirm that:

I have read and understood this Drum Lesson Agreement.
I am purchasing a 6-month minimum lesson package for the price I selected above.
I understand the scheduling, cancellation, late-arrival, and refund policies.
I provided accurate information.
I understand that results depend partly on my practice and participation.
I agree to conduct the lesson respectfully and follow reasonable safety instructions.
I understand the payment schedule, missed-lesson policy, cancellation policy, and continuation terms.

I agree to this Drum Lesson Agreement.

I am the parent or legal guardian of the student named above, and I agree to this Drum Lesson Agreement on the student’s behalf.

Student signature (or parent/guardian if student is under 18):

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.

Student legal name:

Date: