Summer Music 2023
Thanks for your interest in music study this Summer. Please use this form to formally register for the following programs. In addition to the registration form, an invoice will be sent.  Payment in full is required in order to confirm your private lesson time and day. Any questions? Call us at 631-271-4626


Payment details:
- Tuition is non-refundable. Once registered this is an agreement that the full amount of the tuition must be paid whether the lessons are completed by a student or not.
- We encourage use of  Venmo/Check





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Email *
Parent/Guardian Name *
Student Name *
Date of Birth *
MM
/
DD
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YYYY
Academic grade as of 09/2023 *
School Name *
Address *
City *
Zip Code *
Home Phone Number
Mobile Phone Number *
Student Email (students 14 yrs +)
Private lessons: strings,piano,voice
Payment Plans/Discounts
Clear selection
Instrument *
What are your 2 choices for day and time for private lessons? *
Please choose your payment option *
Any additional notes or questions?
A copy of your responses will be emailed to the address you provided.
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