2019-2020 Registration
Register for Private Piano Lessons with Inkwell Music -- Kristen Starkey
$120 Enrollment Fee is due upon registration
Email address *
Student Name *
Student DOB *
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Student Grade *
Student Email
Parent/Guardian 1 Name *
Parent/Guardian 1 Phone *
Parent/Guardian 2 Name
Parent/Guardian 2 Phone
Parent/Guardian 2 Email
Mailing Address *
Lesson Length *
Preferred Lesson Day *
Required
Preferred Lesson Times *
Required
Specify Schedule Request if needed
Sibling Registration (Name, DOB, Grade)
How did you hear about Inkwell Music?
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If you heard about Inkwell Music from a friend/family member please put their name so they can receive a referral discount
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