Zamek Music Registration Form
Student First Name *
Student Last Name *
Grade *
Parent's Name *
Telephone *
Parent Email *
Student Email (if applicable)
Your preferred day of the week and time of lesson. *
Please enter any additional comments or information that you feel would be helpful for us to know.
I acknowledge that I have read, understand, agree, and am bound by the terms of the studio policies. *
Link to Studio Policies and Terms:
I hereby authorize Zamek Music to use photos, audio recordings, or video recordings of the student being registered for promotional purposes such as on the website or in social media platforms. *
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