Mary WilliamsPiano Studio

Student Name: *


Grade Level: *


School: *


Names of Parents/Guardians: *


Address: *


Best phone number: *


Best email: *


Do you use text messaging? *
Yes
No

****************************************************************************************************************************************************************************************************** Listed below are the days of the week the studio is open. If you are available any time during studio hours, click the button. If you are only available during specific hours on any given day, please specify in the text boxes.

Please list the earliest and latest times you are available on TUESDAY, or say "any time"


Please list the earliest and latest times you are available on WEDNESDAY, or say "any time"


Please list the earliest and latest times you are available on THURSDAY, or say "any time"


Knowing what each student is engaged in outside of piano lessons is important to their instruction at the studio. Please list any other school related or extra curricular activities that they will be involved in this semester: *


*
By checking this box, you are aware of and agree to all the terms and conditions of the revised Studio Policy.