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Student Registration
Student's Name*
Please let us know your name.
Age
Birthdate* / /
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Parent(s) Name*
Please write a subject for your message.
Street Address*
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Postal Code*
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Parent's Email*
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Student's Email (if they have email)
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Home Phone*
Please use 10 digit number.
Parent's Cell Phone
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Student's Cell Phone (if applicable)
Please use 10 digit number.
Your Piano/Keyboard
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Our piano/keyboard is made by:
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I have access to the following devices for use during lessons and practicing:*
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About Recitals & Exams: choose as many as apply




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Our family has other musical experience that can be added to your studio recitals (i.e. collaborative playing with a sibling or parent who plays another instrument or sings). Please provide a few details below.
Details
Please let us know your message.
There are many different styles and types of music ranging from the concert hall to the dance hall to family hoe-downs and everything in between. I understand that most students have no idea where their musical adventure may take them, but it is helpful to know if there are any specific interests that students have now. Please check any of the following that may apply.
I am interested in:







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The difference in learning that occurs for those who practice regularly and those who don’t is very significant; and as every music teacher knows, practice does not necessarily make perfect – rather, practice makes permanent! So it follows, good practicing is the key to good learning when it comes to music. Every lesson precipitates skills and music that need to be repeated regularly until they become habit or second nature. Please choose the time you will plan to invest this year. Remember it is often more productive to have 2 or 3 shorter practices in a day, and longer practice times can be worked up to over a period of several weeks.
This year I plan to practice for:*
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Please read through my studio policies (main menu bar) to clarify expectations regarding your instrument, lesson fees, practicing, cancellations, lesson day, recitals, examinations and staying in touch.
Studio Policies*
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Please use the space below for anything else you'd like me to be aware of that hasn't been covered already. I'm also very interested in your thoughts regarding registering on-line, and how this process has been for you.
Message
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