Health & Safety Agreement

Student's Name*
First Last
Age*
Musical Experience (years of lessons)
Parent or Guardian Name*
First Last
Relationship*
Home Phone
Cell Phone*
Email*
Address*
Street Address City State ZIP Code
AGREEMENT*
I give my permission for my child to participate in music lessons at the Jupiter Academy of Music. I understand that the very best possible care and attention will be given to my child’s health, welfare and safety while at Jupiter Academy of Music. I understand that strict protocols are in place to make the physical environment as germ-free as possible. I absolve the teachers and Jupiter Academy of Music, LLC. of any responsibility for the health and welfare of my child.
I give my permission for my child to participate in music lessons at the Jupiter Academy of Music. I understand that the very best possible care and attention will be given to my child’s health, welfare and safety while at Jupiter Academy of Music. I understand that strict protocols are in place to make the physical environment as germ-free as possible. I absolve the teachers and Jupiter Academy of Music, LLC. of any responsibility for the health and welfare of my child.
Signature of parent/guardian*
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Name
First Last
(Person responsible for payment)
Name
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See What Others are Saying about JAM

      
   Jupiter Academy of Music
   18 Google reviews 
  Write a review 
  
 
 
   
 
 
        
   Lynette Miller 
 February 29, 2024
 
 
  Real world experienced instruction. All ages go there for guitar, piano, drums, & horns.
  
 
       
   Engin Ayaz 
 September 8, 2022
 
 
  JoAnn is teaching my son how to play piano. She’s kind, encouraging, funny, talented - just incredible all around. The Jupiter community is truly lucky to have her here.
  
 
       
   Michael Zolkiewicz 
 January 19, 2022
 
 
  They were practicing 'Ode to Joy'
  
 
       
   Hawk Levy 
 January 14, 2020
 
 
  The best place within 50 miles for music instruction. Brad is great with kids.
  
 
       
   Stephen Carver 
 January 3, 2018
 
 
  Sandra Barran, the owner, has been teaching my girls piano and voice for almost seven years. She is a great teacher! She's kind and patient with the girls and also with stressed out parents, haha. She teaches my niece and nephew, and they love her as well. We are very thankful we discovered JAM.
  
 
       
   Kellie Floyd 
 September 17, 2017
 
 
  The music teachers here are amazing!

Health & Safety Agreement

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