Piano Lesson Registration
Welcome to my music studio community. I'm currently taking registration for lessons starting in September 2021 till June 2022. Once you've filled out the registration form I'll contact you by phone or email to answer any questions you have. **To reserve a specific time slot for the year, there will be a $35 registration fee that will hold your spot for September
Email *
Confirm email address
Phone number
Parent Name (First and Last)
Student name
Gender of Student
Clear selection
Student's Birthdate
MM
/
DD
/
YYYY
Musical background of student (other instruments, lessons, in school etc. ) **New students only**
What times are you available for piano lessons?
Please select all that apply
3-4pm
4-5pm
5-6pm
6-7pm
Monday
Tuesday
Wednesday
Thursday
What is your first preference for lesson day and time?
What is your second preference for lesson day and time?
How did you hear of my studio?
Clear selection
Are you interested/ ok with
Do you have any questions or comments?
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