We are currently accepting registrations for the fall of 2018-2019 in private piano and flute instruction. Both new and returning students must complete registration prior to their first fall lesson via online or paper form (can be requested at your child's next lesson).

Student Name *
Student Name
Student Birthday *
Student Birthday
Parent/Guardian Name *
Parent/Guardian Name
Additional Parent/Guardian Name
Additional Parent/Guardian Name
Address *
Address
Main/Home Phone *
Main/Home Phone
Parent/Guardian Cell Phone *
Parent/Guardian Cell Phone
Student Cell Phone
Student Cell Phone
(optional)
My preferred lesson day/time is:
This can be left blank if you have already arranged a lesson time via conversation with me. If not, please let me know your preference here:
Lesson Reminders *
Please indicate how you'd like lesson reminders delivered. Studio newsletters and other important information will always be sent to parent/guardian emails. (Choose all that apply.)