The Studio is now at capacity and any registrations that come in will be added to the waitlist.

*If a spot becomes available and is offered to you, a registration fee of $25/student or $40/family would then be required to hold the spot.

Student Name (First/Last) *

Date of Birth *

Phone Number *

E-mail contact *

Street Address *

Mailing Address *

Parent/Guardian (Name/Relationship to student/Phone Number (type: work/cell)/E-mail contact) *

Additional Parent/Guardian (Name/Relationship to student/Phone Number (type: work/cell)/E-mail contact) *

Instrument(s) Requested *

• voice
• piano
• ukulele
• guitar
• violin
• recorder
• dramatic speech arts
• ear training and/or music theory

Lesson Frequency *

• weekly
• twice a week
• every second week

Lesson Length* *

• 30 mins
• 45 mins
• 60 mins
• other

*If you are choosing other, please provide details below under “other details”

Lesson Format *

• In-person
• Online

Requested Lesson Day/Time**

• Tuesday Morning (9:30-12:00)
• Tuesday Afternoon (12:30-3:00)
• Tuesday Late Afternoon (3:00-5:30)
• Tuesday Evening (6:00-8:30)
• Wednesday Morning (9:30-12:00)
• Wednesday Afternoon (12:30-3:00)
• Wednesday Late Afternoon (3:00-5:30)
• Wednesday Evening (6:00-8:30)
• Thursday Morning (9:30-12:00)
• Thursday Afternoon (12:30-3:00)
• Thursday Late Afternoon (3:00-5:30)
• Thursday Evening (6:00-8:30)
• Friday Morning (9:30-12:00)
• Friday Afternoon (12:30-3:00)
• Friday Late Afternoon (3:00-5:30)
• Friday Evening (6:00-8:30)
• Saturday Morning (9:30-12:00)
• Saturday Afternoon (12:30-3:00)
• Saturday Late Afternoon (3:00-5:30)

**Please check all options that may apply as the more options you give the easier it will be to accommodate you. Please note that lesson times are given on a first come basis.

Other Details*** *

***Please provide any other details that the Studio should be aware of such as your first choice lesson day/time, special goals, learning challenges, allergies, etc.

Registration Fee *

• I understand that a non refundable registration fee of $25/student or $40/family is required to hold a lesson spot for the 2023-24 school year.

Studio Policies *

• I understand that all students are required to submit a signed copy of the Studio Policies before the first lesson.

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