Zamek Music Fall 2019 Session Registration Form
September 16 - December 20 at Mizzentop Day School
September 9 - December 21 at Home Studio

Please Note:
No lessons during the week of Thanksgiving.
The last week of the session is our makeup week.

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Student First Name *
Student Last Name *
Grade *
Parent's Name *
Telephone *
Parent Email *
Student Email (if applicable)
Instrument *
If you chose "other" above, please specify.
Please indicate your preferred lesson time. *
Voice Lessons are offered at the home studio on Monday starting at 4:15pm and Saturday starting at 10am.  Mizzentop Student instrumental lessons are offered at MDS on Wednesday and Thursday beginning at 3:30pm.  All other instrumental lessons at the home studio will be arranged by request.
Mizzentop Students Only
Please indicate your preference.
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Please enter any additional comments or information that you feel would be helpful for us to know.
I acknowledge that I have read, understand, agree, and am bound by the terms of the studio policies. *
Link to Studio Policies and Terms:  www.zamekmusic.com/policies
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