2022 -2023 Continuing Student Registration Form Note: Below is the registration form for all continuing piano students for 2022-2023. If you are looking to inquire about lessons please Click Here for New Student Lesson Inquiry Thank you. If you have any questions about this form please contact Darrin at businessmanager@staging.thepianostudio.biz Student Registration Form: 2022-2023 Student First Name * Student Last Name * Students Preferred First Name * # of years with The Piano Studio * Student Teacher * Please Select Margie Nelson Allison Fog Julia Jasnosz Student Length of Lesson * Please Select 30 Min 45 Min 60 Min If Applicable:Sibling Student Full Name If Applicable: Sibling Lesson Length Please Select 30 min 45 min 60 min Father's First and Last Name * Mother's First and Last Name * Father Cell Phone * Mother Cell Phone * Primary Person to Contact * Please Select Father Mother Primary Person Email * Street Address * Town and Zip Code * I agree to allowing PS to use pictures of my child for website and in house publications * Please Select Yes No Payments: You can pay either online or by check. Please choose how you will be paying. * Please Select Credit Card Paypal Check Parent Acknowledgement: I have read, understand, and agree to the policy and fees that I have recieved. * Please Select Yes Please verify that you are human * Submit Should be Empty:
