0% found this document useful (0 votes)
275 views1 page

Studio Summer Enrollment Form - 2015

This 3 sentence summary provides the key details about the piano student summer enrollment form: The form collects a student's contact information, including name, address, phone numbers, email, and instrument details. It requests the student's top 3 choices for lesson times and any vacation dates. The student must sign agreeing to the piano policy terms for the summer enrollment.

Uploaded by

Erica Ogden
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
0% found this document useful (0 votes)
275 views1 page

Studio Summer Enrollment Form - 2015

This 3 sentence summary provides the key details about the piano student summer enrollment form: The form collects a student's contact information, including name, address, phone numbers, email, and instrument details. It requests the student's top 3 choices for lesson times and any vacation dates. The student must sign agreeing to the piano policy terms for the summer enrollment.

Uploaded by

Erica Ogden
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 1

Piano Student Summer Enrollment Form

Ericas Piano Studio, LLC

Name:__________________________________________ Date:_______________________

Fill out the section below if there have been any changes in the following:
Age:______________
Street Address:________________________________________________________________
City:______________________________ State:_______________ Zip:__________________
Home Phone:____________________ Best Time to Call: ____________________________
Fathers Name/Cell:___________________ Mothers Name/Cell:______________________
Email:________________________________________________________________________
Type of Piano/Keyboard: _______________________________________________________

List your first three choices of a lesson time:


1. Day: _______________________ Time: _______________________
2. Day: _______________________ Time: _______________________
3. Day: _______________________ Time: _______________________
List vacation dates: ___________________________________________________________
(I will plan up to 2 makeup lessons due to summer vacations.)
Siblings taking lessons: ________________________________________________________
Special needs: ________________________________________________________________
Other comments: _____________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

Policy Agreement: "I have read the 2014-2015 Piano Policy and I agree to abide by the
terms and conditions in the policy."
Signed: _____________________________________________

Date: ________________

You might also like