Zamek Music Fall 2019 Session Registration Form
September 16 - December 20 at Mizzentop Day School
September 9 - December 21 at Home Studio
Please Note:
No lessons during the week of Thanksgiving.
The last week of the session is our makeup week.
* Required
Student First Name
*
Your answer
Student Last Name
*
Your answer
Grade
*
Your answer
Parent's Name
*
Your answer
Telephone
*
Your answer
Parent Email
*
Your answer
Student Email (if applicable)
Your answer
Instrument
*
Choose
Voice
Piano
Recorder
Flute
Clarinet
Saxophone
Trumpet
Baritone Horn
Snare Drum/Mallet Percussion
Other
If you chose "other" above, please specify.
Your answer
Please indicate your preferred lesson time.
*
Voice Lessons are offered at the home studio on Monday starting at 4:15pm and Saturday starting at 10am. Mizzentop Student instrumental lessons are offered at MDS on Wednesday and Thursday beginning at 3:30pm. All other instrumental lessons at the home studio will be arranged by request.
Your answer
Mizzentop Students Only
Please indicate your preference.
Small Group Lesson
Private Lesson
No Preference
Please enter any additional comments or information that you feel would be helpful for us to know.
Your answer
I acknowledge that I have read, understand, agree, and am bound by the terms of the studio policies.
*
Link to Studio Policies and Terms:
www.zamekmusic.com/policies
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