Returning Student Registration Form
Student last name *
Student first name *
Parent last name
Parent first name
Parent/Student Email *
Please indicate any address or phone number change
Select period *
Please list your instrument and teacher *
Desired lesson length *
Please indicate your most preferred lesson time (i.e. "Mondays, between 3-5 pm") *
Please indicate your second preferred lesson time *
Please indicate your third preferred lesson time *
Please list all known absences for this period. Your teacher will automatically remove these from your schedule, or he or she will contact you to schedule alternatives. All absences must be listed here for them to be accommodated. After registration, the one make-up lesson per period will be strictly enforced. *
Will you need a campus parking pass and ID? *
Required
Lessons and recitals may be photographed for publicity purposes. Please grant or decline permission below. *
Please review our lesson policies at http://www.moodycommunitymusic.com/lesson-policies/ and indicate acceptance below. *
Additional notes:
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