2017/18 Musespeak Studio Registration Form

Lesson Day & Time Requests will be prioritized in the following manner: 1 - current students who wish to keep their current lesson slot, 2 - current students who wish to change their Lesson/Day time, 3 - family members of current students, and 4 - new students. Your registration will be processed once your completed Registration Form, Studio Policies Acknowledgement & Acceptance Form and Registration & Material Fees have been received. 

Today's Date *
Today's Date
Student Name *
Student Name
Student's Birth Date *
Student's Birth Date
Student Phone (if under 18, optional)
Student Phone (if under 18, optional)
Optional if under 18.
Parent/Guardian Name
Parent/Guardian Name
Optional if student is under 18.
Family's Primary Phone *
Family's Primary Phone
Address
Address
Not required if your address hasn't changed since last year's registration.
E.g. website, social media, Maestro's Music Tricks, presentations & materials to the music education community.
Lesson Type *
Piano Lesson Length *
Lesson Frequency *
Theory Class Registration *
Class time will be confirmed once there are enough students to run a class.
Fall Term: September 11 - December 21, 2017, Winter Term: January 8 - March 24, 2018, Spring Term: April 9 - June 8, 2018.
Teaching hours will be ONE of the following: Scenario 1: Mondays, Tuesdays & Thursdays: 3:00 - 9:30 PM, Wednesdays: 1:30 - 5:00 PM, Fridays: 1:00 - 4:30 PM. Scenario 2: Tuesdays & Thursdays: 3:00 - 9:30 PM, Wednesdays: 1:30 - 5:00 PM, Fridays: 1:00 - 4:30 PM, Saturdays: 9:30 AM - 2:30 PM. Please list your requests in order of preference.
Monthly or term payments.
Registration & Materials Fee *
Fee is due to with completed registration. Cash, cheque, EFT accepted.