Music Notes Academy Absences

Student Absenteeism Online Form
One Form Per Student - Complete A Form For Each Student

Student's Name(s)*

Your Name*

Your Email Address*

Your Phone Number(s)*

Parent/Guardian Name

Same-Day Lesson Cancellation:
Canceling lesson(s) within 24-hours of scheduled lesson or a lesson that is scheduled to occur today -
ineligible for a make-up lesson for any reason. Please additionally call Brandon Kurzawa at
908.938.0366 for same-day cancellations.

Yes, I need to cancel my music lesson today; we will continue our music lessons next week

Scheduled Absence(s):
Canceling lesson(s) with more than 24-hour notice - eligible for make-up lesson(s), reference Academy
Policies for complete information on make-up lessons.

List The Lesson Day(s) and Date(s) The Student Will Be Absent (ex. Wednesday, September 10):

Make-Up Lessons:
List your preferred dates/times for make-up
lesson(s) - based on instructor availability, requests
may not be guaranteed, reference Academy
Policies for information on make-up lessons

Thank you for using our new online absenteeism form!
You will be contacted by a representative for confirmation on make-up lesson scheduling.

Student Absenteeism
Online Student Absenteeism Form

Click the "reset" button if you would like to start over or cancel your absence(s) at anytime. Once the
"submit" button is pressed, your student absence(s) cancellation is final.

Reference your Academy Policies for information regarding scheduled absences, same-day cancellations
and make-up lessons. Contact Brandon Kurzawa only for questions regarding student absences and
make-up lessons.

Music Notes Academy Office: (908) 393.1418 Director's Mobile: (908) 938.0366

Est. 2000

For Immediate
Assistance With
Student Absences Call
908.938.0366 To
Speak With The

Complete our new Student Absenteeism form for upcoming student scheduled absences, vacations and
same-day cancellations. Upon completion click the "submit" button at the bottom of the page.

Student Absences