21/22 Registration Form *New Students*
Welcome to Ms. Li Music!

This registration form is for new studio families entering the 🍁 FALL term of 2021.

Please fill out this form once you have finished:
⭐︎ your interview with Ms. Li
⭐︎ reading the Studio Policy + Tuition Packages

All information will be kept confidential. Thank you!
1. Parent/Guardian's First and Last name *
2. Current Home Address (Please include city and zip code) *
3. Parent/Guardian's Phone number *
4. Emergency Contact Name and Number *
5. Emergency Contact's relation to student (eg. grandparent, aunt) *
6. Owning a piano/keyboard instrument at home is required before starting lessons. On what type of piano will this student be practicing? *
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy