mfMusic Studio Registration (child)
We are registering for:
45 Min Weekly Voice Lessons - in studio
1 Hour Weekly Voice Lessons - in studio
45 Min Weekly Piano Lessons - in studio
1 Hour Weekly Piano Lessons - in studio
1 Hour Weekly Combination Piano and Voice Lessons - in studio
45 Min Weekly Piano Lessons - in home
1 Hour Weekly Piano Lessons - in home
Student date of birth
Year-Round Track 1
Year-Round Track 2
Year-Round Track 3
Year-Round Track 4
Name of School
Grade in School (2019-20 Academic Year)
Has this student studied music previously? If so, please describe.
Is this student currently studying another instrument?
What other after-school activities is this student currently involved in, i.e. dance, soccer, and how often each week does the student participate?
Does this student have any dietary restrictions or allergies? If so, please describe.
Does this student have any physical, mental, or developmental issues pertinent to taking lessons? If so, please describe.
What is the student's goal for taking lessons?
Are there any types of music you will not allow your child to study?
Briefly describe the extent of both parent's musical background.
What kind of piano will the student be using for in-home lessons or home practice?
Acoustic, baby grand
Digital piano with weighted keys
We do not own a piano or keyboard
Mother's mobile/work phone number
Father's mobile/work phone number
Home phone number
Student mobile number (age 16+ only)
Primary email address (For all studio correspondences including invoices)
Secondary email address (optional for families who would like all information to be sent to two separate addresses)
Student email (optional for students age 10 and older so teacher can send assignment links, recordings, etc directly to student as needed; parent will always be CC'd.)
Which form of communication do you prefer?
Text Mother's cell phone
Text Father's cell phone
Email Primary Email Address
Call Home Number
Call Mother's cell phone
Call Father's cell phone
The “Lessons Swap List” allows parents of in-studio lessons to swap lesson times with other parents/students if conflicts arise. Can I list your name, email address and phone number on the "Lessons Swap List"?
N/A (we are registering for in-home lessons)
We plan to pay for tuition in the following way:
Total tuition and fees for year paid in full (includes discount); due July 7th
Total tuition and fees for year paid in TWO payments; due July 7th and Dec 7th
Total tuition and fees for year paid in TEN equal payments; due the 7th of each month beginning July 7th or with the first 2 payments due at registration (if it is now past July 15) and the remaining payments due one per month
By typing my name and date below, I am electronically signing this document to indicate that I have read the full mfMusicStudio Policy at
and agree to abide by the terms listed in the policy.
(This is optional) By typing my name and date below, I am electronically signing this document to grant Margaret Fontiveros the right to take photographs or videos of my family in connection with any mfMusic Studio event. I authorize Margaret Fontiveros to use and publish the same in print and/or electronically. I agree that Margaret Fontiveros may use such photographs/videos of us with or without our names and for any lawful purpose, including for example such purposes as web content or Facebook newsfeed.
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