MAJN Form 2019
Email address *
Student last name, first name:
Student's date of birth:
MM
/
DD
/
YYYY
Parent/Guardian's name (last, first):
Phone number:
Street Address (street, city, zip code):
Instrument Choice (check all that apply):
Lesson type and length:
Clear selection
Teacher:
How did you hear about us?
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May we use photos from our class of you or your child in our marketing materials?
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Read here: http://www.makeajoyfulnoisestudio.com/studiopolicy
Agreement: I have read, understand, and agree to the terms of the Studio Policy.
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.
Payment method:
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I give MAJN permission to auto deduct tuition for each Session.
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Questions, Comments, or Special Request?
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