Lesson Hold Request Student Details Student Name Parent/Guardian Instructor Lesson Day Select day Monday Tuesday Wednesday Thursday Friday Saturday Sunday Lesson Time Select time 8:00 AM 8:30 AM 9:00 AM 9:30 AM 10:00 AM 10:30 AM 11:00 AM 11:30 AM 12:00 PM 12:30 PM 1:00 PM 1:30 PM 2:00 PM 2:30 PM 3:00 PM 3:30 PM 4:00 PM 4:30 PM 5:00 PM 5:30 PM 6:00 PM 6:30 PM 7:00 PM 7:30 PM 8:00 PM 8:30 PM 9:00 PM Hold Dates Start Date End Date Lesson Hold Selection 3 lessons - $31.50 CAD 4 lessons - $42.00 CAD 5 lessons - $52.50 CAD 6 lessons - $63.00 CAD Amount owing: — Payment Pay with Stripe or E-transfer: holdlessons@westendmusicschool.com Include student name in memo. Hold is confirmed upon payment. Submit Form Submit Form