2019-2020 Registration
Register for Private Piano Lessons with Inkwell Music -- Kristen Starkey
$120 Enrollment Fee is due upon registration
Email address *
Student Name *
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Student DOB *
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Student Grade *
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Student Email
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Parent/Guardian 1 Name *
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Parent/Guardian 1 Phone *
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Parent/Guardian 2 Name
Your answer
Parent/Guardian 2 Phone
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Parent/Guardian 2 Email
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Mailing Address *
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Lesson Length *
Preferred Lesson Day *
Required
Preferred Lesson Times *
Required
Specify Schedule Request if needed
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Sibling Registration (Name, DOB, Grade)
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How did you hear about Inkwell Music?
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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