Registration for Me, my baby and my piano class 
This is a one-lesson trail form that will be updated upon the commencement of a formal teaching arrangement. 
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Email *
Student Name *
Date of Birth  *
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Parent Name  *
Mobile Phone Number *
Emergency Contact Name and Mobile Phone Number *

There will be 8 classes in the spring session, starting on Saturday, May 4th, and ending on June 29. (There will be no class on May 18).


All spring session classes will be held on Saturday at 1:15 p.m. Every class will last 30 minutes, which may be extended to 40 minutes based on the conditions.
 
Please check your favorite class length from below.
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It would be helpful if you knew the following about my child *
Media Consent

I hereby grant permission for images and/or audio/video recordings of myself and my child(ren) to be posted on the MDA Piano Academy Website, MDA Piano Academy Facebook Page or included in studio publications with the first name attached.
 *
Required
By registering with MDA Piano Academy,  you authorize  MDA Piano Academy Piano Fun Group Lessons for Littles to add your email address to the Studio’s mailing list to receive lesson follow-up information, Studio News and Term Newsletters. Your email will not be shared. 

I consent to my email address being added to the MDA Piano Academy mailing list. 
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By completing and submitting this enrolment form you are agreeing to MDA Piano Academy’s Group Lesson Policy. Policy available here.
I have read and agree to MDA Piano Academy’s Group Lesson Policy.
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Thank you for submitting!
You will receive confirmation shortly.

Mariko Avanesian
MDA Piano Academy
Mdapianoacademy@gmail.com
647-505-1661
A copy of your responses will be emailed to the address you provided.
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