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Zamek Music Registration Form
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Student First Name
*
Your answer
Student Last Name
*
Your answer
Grade
*
Your answer
Parent's Name
*
Your answer
Telephone
*
Your answer
Parent Email
*
Your answer
Student Email (if applicable)
Your answer
Your preferred day of the week and time of lesson.
*
Your answer
Please enter any additional comments or information that you feel would be helpful for us to know.
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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
Yes
Required
I hereby authorize Zamek Music to use photos, audio recordings, or video recordings of the student being registered for promotional purposes such as on the website or in social media platforms.
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