Cancellation Requests Form

 

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Please fill out the following to notify us of your cancellation.  If you are cancelling a lesson for today, please call us immediately.

Piano: 781-929-5192

Guitar: 617-416-3566

 

  1. Please provide the following contact information:

    Parent First Name
    Parent Last Name
    Student Name
    Instrument Piano  Guitar  Bass
    Teacher
    Email

     

  2. Date of the cancellation:

      mm/dd/yy

     

  3. Reason for Cancellation

     

  4. Please provide your makeup availability (select all that apply):

    I can extend my lessons in the next few weeks to makeup for this lesson.  For example, a 30 minute lesson will be made up by having two 45 minute lessons.

    I can makeup the lesson another day this week.

        Please fill in the time range (
    ex.
        3:00-7:00pm)
    on the days
        that you are available for lessons
    .  Please try to give more than one day and time if possible.  You can leave the forms blank when they do not apply.
    Monday
    Tuesday
    Wednesday
    Thursday
    Friday
    Saturday
    Sunday

       I am not available to do a makeup lesson this week, but we are available during the following times (example: 9/20/09 at 3-6pm OR upcoming Wednesdays at 3-6pm):

    * If the cancellation is not made up, one cancellation allowance will be applied.

     

  5. Any other special notes:



 

Contact Information

 
781.929.5192
merrymelodyma@gmail.com
377 Nahatan Street
Norwood, MA 02062
Send mail to merrymelodyma@gmail.com with questions or comments about this web site.
Last modified: September 18, 2011