MAJN Registration 20-21
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Student Name: (last name, first name)
Student Date of birth
Parent/Guardian's Name if applicable: (last name, first name)
Address: Street, City, Zip code
I am interesting in hiring a Virtual Assistant for my child's online learning.
Yes (if you are not taking music lessons you can submit form after this question)
Lesson type and length:
Private Lessons - 30 minutes
Private Lessons - 45 minutes
Private Lessons - 60 minutes
Group Lessons - 30 minutes
Group Lessons - 45 minutes
Group Lessons - 60 minutes
Abi Hopkins - violin/piano
Christianna Lopez - piano
Glenn Dantam - piano/drums/saxophone/clarinet/guitar
Hannah Hadley - piano/guitar
Jake Dugan - guitar/ukulele/piano
Logan Purcell - guitar/piano
Matt Hyslop - guitar/ukulele
Matthew Marshall - piano
Meghan Bartsch - piano
Nolan Winters - guitar/piano/ukulele/bass/voice
Shane Meredith - piano
How did you hear about us?
May we use photos from our class of you or your child in our marketing materials?
Yes I have read, understand, and agree to the terms of the Studio Policy for the year 2020-2021
I understand that when registering for lessons I am committing to a full Session (13 Lessons) and will be billed accordingly. If it's mid Session I understand I will be prorated the tuition amount for the remainder of the Session.
I would like MAJN to automatically deduct tuition for each Session this year.
Questions, Comments, or Special Request?
I would like lessons to be:
In my home
I'm open to either
Send me a copy of my responses.
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This form was created inside of Make A Joyful Noise.