termination form

Student Name *

First Name

Last Name

Primary Contact *

First Name

Last Name

What will the date of your child's final lesson be? *

MM

DD

YYYY

Reason for leaving? *

It's no longer affordable

My child does not practice enough

Not making enough progress

My child has missed too many lessons

No longer interested in music

Doesn't like the instrument they're learning

We've found lessons elsewhere

We are moving out of area

Other (add details below)

I would recommend Fretvision to my friends! *

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

One-on-one Lessons *

Would you be interested in your child doing one-one-one lessons instead?

Yes please!

No thanks