2019/20 Musespeak Studio Registration Form

Lesson Day & Time Requests will be prioritized in the following manner: 1 - current students, 2 - family members of current students, and 3 - new students. Your registration will be processed once your completed Registration Form, Studio Policies Acknowledgement & Acceptance Form and Registration & Material Fees have been received. 

Reference Links: 2019/20 Studio Calendar | 2019/20 Studio Policies | 2019/20 Tuition Schedule

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
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 Private Lessons (*younger beginners) OR 40 minute Buddy Lessons Grade 5 - 7: 45/60/75 minute Private Lessons OR 60/75 minute Buddy Lessons Grade 8 - 9: 60/75 minute Private Lessons OR 75 minute Buddy Lessons Grade 10: 75/90 minute Private Lessons ARCT: 90 minute Private Lessons Recreational Play**: 45/60 minute Private Lessons
Fall Term: September 9 - December 19, 2019 | Winter Term: January 6 - March 19, 2020 | Spring Term: March 30 - June 12, 2020. Theory Class students: Please choose 3 Terms, Adult Group Class students: Please choose Fall or Winter Term.
My tentative teaching schedule is as follows: Mondays to Thursdays from 3 - 9:30 PM. Additional weekday midday times are available upon request. 1 - List the days & times that you are absolutely NOT AVAILABLE for lessons. 2 - List any special requests.
Monthly or term payments.
Registration & Materials Fee *
Fee is due to with completed registration. Cash, cheque, e-Transfer accepted.