2018/19 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
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 *
Check all that apply.
Lesson Registration *
Check all that apply for theory and piano. Recommendations: Beginner - Grade 4: 30* - 45 minute lessons (*younger beginners) Grade 5 - 7: 45/60/75 minute lessons Grade 8 - 9: 60/75 minute lessons Grade 10: 75/90 minute lessons ARCT: 90 minute lessons Recreational Play: 45/60 minute lessons
Fall Term: September 11 - December 21, 2017, Winter Term: January 8 - March 24, 2018, Spring Term: April 9 - June 8, 2018.
Tentative Teaching Schedule: M/T/Th from 3 - 9:30 PM, W/F from 11 - 4 PM. Additional weekday midday times are negotiable. Grade 7 piano students and above, please add your theory class weekday preferences here as well.
Monthly or term payments.
Registration & Materials Fee *
Fee is due to with completed registration. Cash, cheque, EFT accepted.