Music for Little Mozarts Lessons

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I am so excited for your child to start learning piano! Please fill out the form below to reserve your spot.

Parent Name *

Student Name *

Student's Birthday *

Is your child...

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Does the child have any food allergies? (For studio events)

Parent's email *

Parent's phone number *

Address

Studio Policy (please check all the boxes if you agree) *

Tuition is due at the beginning of the month to make it easier for everyone. :)

Attendance - Students are expected to come to their lessons. I do understand things come up, however. If you will not be able to make it to your lesson, please let me know at least 24 hours in advance (exception illness or emergency). There will be no refunds, but I will make every attempt to do a make-up lesson. In cases of illness, I do ask that you let me know before coming to lessons - thank you for being considerate to the other students in the studio. :)

Playset Policy - We do have a playset on the property - however, it is not intended for use during lessons and will not be available for liability reasons. Thank you for understanding!

Photo Permission - Pictures would not be posted on social media. Any pictures used would be placed on my studio website or on postcards/flyers. The student's name would not be included with the picture.

Discontinuation of lessons: Sometimes things don’t work out, and while each time is sad, I hope to make the transition as smooth as possible. In the event it is time for you to go, I ask for one-month notification so we can work towards a sense of completion for your student. Also, in the event of many missed lessons, unpaid tuition, irregular practice, or behavior issues, I may recommend discontinuing lessons.

Questions - If you ever have any questions or concerns, please don't hesitate to contact me! I am not always available after the lesson due to the next student's lesson, but feel free to call, text, or email me at any time.

I agree to the studio policy.

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How did you hear about lessons? *

Emergency Contact Name and number (if other than parent)

Anything you would like me to know? Or any questions or comments?

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