Summer – Registration Form – new students (Piano)

summer Registration form
~ Piano ~

NEW STUDENTS

Please fill out this form after you have confirmed a lesson time.

Student Name *

First

Last

Birthday *

Age *

Grade *

Favorite Candy/Chocolate snack *

Primary Contact *

Primary Phone number *

Primary Email *

Address *

Secondary Name

Secondary Phone number

Which Instrument? *

Tuition per student (choose one) *

What will be your (most) regular method of payment? *

I will be using the Step-Up scholarship. *

I have read and understand the Studio Policies. I agree to abide by the guidelines and policies listed. (See keyandclef.com Home page) *

Type full name