Pineda Studio - Fall Lesson Registration - 2021
Sept 13 - Dec 17, 2021
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Student's Full Name and Pronouns *
Student's Birthdate and Age as of 9/11/21 *
Student's Grade and School Attending
Student's Email & Cell Phone# *
Parent/Guardian Name(s) and Pronouns *
Parent/Guardian(s) Email and Contact Ph# *
Student's Home Address *
Requested Lesson Length *
Lesson Type *
Please list lesson availability and scheduling requests below, for example, Mondays 3-7p, Tuesdays after 5p, Wednesdays before 3:30-9p, etc. Please keep in mind play and band rehearsals, and sports that may begin later in the fall. *Currently, I am only offering in-person lessons in the NJ studio on Mondays, assuming I meet an enrollment minimum.* *
Due to increased Paypal fees, ZELLE is now my preferred payment platform, and most financial institutions offer it, fee-free, as a trusted and safe direct bank-to-bank transaction. Invoices will still be mailed monthly, direct from the studio. ZELLE payments can be made to *
Any questions or anything else you'd like me to know?
I have read through the 2021 Studio Policies in their entirety and accept the stated terms and conditions. Please do not submit until you have done so. *
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