2023-2024 Student Registration Form
Premier Music Studio
139 Wolfs Lane Pelham, NY 10803
914.727.9355
premiermusicstudiony@gmail.com
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Email *
Student 1 Full Name and Date of Birth *
Student 2 Full Name and Date of Birth
Student 3 Full Name and Date of Birth
Student 4 Full Name and Date of Birth
Parent/Guardian Name(s) *
Email *
Address *
Phone Number(s) *
Name and contact information of caregivers
Please list any known allergies:
Please provide any details that could enhance lessons with Premier Music Studio teachers (i.e. favorite genres of music, past music instruction, other instruments played, educational supports, etc.)
I am registering for: *
Required
I understand that I must notify Premier Music Studio via email of all scheduling requests and cancellations. *
Required
I understand that all lessons must be paid for upon receiving my emailed invoice. *
Required
I understand that there is 24-hour policy in place for all non-emergency cancellations; otherwise the studio teacher is not required to make up the lesson missed and the lesson fee will not be credited. *
Required
I acknowledge that the information provided is correct and true and that I have read and agree with the terms listed on this registration form. *
Required
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