2017-2018 Piano Registration (Adult)
August 28, 2017-May 21, 2018
Student Information
Student Name
Your answer
Your answer
Cell Number
Your answer
Your answer
Your answer
Emergency Contact
Your answer
Emergency Contact cell number
Your answer
Tuition is a flat, monthly rate due at the first lesson of each month. Students receive 33 lessons from September-May.

2017-2018 Rates (September-May):
30-minute lesson $936/year=$104/month
45-minute lesson $1404/year=$156/month
60-minute lesson $1872/year=$208/month

Lesson Time Request
**You can also check what times are taken by clicking 'Show Full Events' on the studio calendar**
Lesson length
First Choice
*Morning times are available on Thursdays
First Choice Time Preference
Your answer
Second Choice
*Morning times are available on Thursdays
Second Choice Time Preference
Your answer
Studio Policies
Please view the complete policy in the 'Studio News' section of the website (log in via HixsonPiano.com).

A few important policy notes:
- There are no guaranteed makeup lessons for student absences. Lesson times that have been cancelled will automatically become ‘open lessons’ that other students may sign up for. Students cancelling a lesson are welcome to sign up for an open time if available.

- A $50 nonrefundable registration fee (due with September's tuition) is required to reserve a spot in the schedule. The fee is used throughout the year to cover the student's materials and sheet music.

Policy Agreement
Electronic Signature (type name)
Your answer
Photo Release
Occasionally I will publish students' photos and videos of performances to the website and studio Facebook page (www.facebook.com/hixsonpiano). Students' names will never be published.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms