Piano Registration Form for 2024-2025

Please fill out and return the fall registration form to the studio with your registration fee to reserve your lesson slot. Indicating several options for lesson times will help me arrange the studio in a way that is best for every one. Please note that registration is on a first come-first serve basis. I plan to teach during the following times:

Mondays: 3:00PM-5:30PM, 7:30PM-9:00PM

Tuesdays: 9:30AM-12:00PM, 3:00PM-5:30PM, 7:30PM-9:00PM

Wednesdays: 3:00PM-5:30PM, 7:30PM-9:00PM

Thursdays: 9:30AM-12:00PM, 3:00PM-5:30PM, 7:30PM-9:00PM

Student Name

First Name

Last Name

Age

Grade

Birth Date

YYYY

Length of Lesson

Level of Student

Parent / Guardian

First Name

Last Name

Email Address

Phone (Home)

(###)

###

####

Phone (Mobile)

(###)

###

####

Phone (Work)

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Preferred Method of Contact

Brand of Piano

Condition of Piano

Last Date Tuned / Serviced

YYYY

Preferred Lesson Day

Preferred Lesson Time

Hour

Minute

Second

Student Enrollment Agreement

I am enrolling my child in the Waggoner Music Studio for the 2024-2025 school year. I have read and agree to abide by the policies stated in the studio policy regarding attendance, practice, payment, and parental support.

Agreed

Date of Agreement

YYYY

Please Note:

There are a limited number of lesson slots available. Lessons will be scheduled on a first come, first serve basis. Registration fee: Individual: $50 Each additional family member $30 Please indicate if you paid this registration fee in the summer.

Yes, I paid registration fee in the summer.

Comments & Questions