Parent-and-Me Student Registration Form
Dr. Wang Music Studio https://drwangmusic.wix.com/home/


Tuition is due upon registration. Only registered students can come to class. 
No refunds/credits will be given for any reasons after the program starts. 

Class Dates: January 28- March 25 (no classes on Feb 4Dec 24, Dec 31)
Class Times: 9:30-10:15am
8 week session: $280

Each student must be accompanied by only one parent for the entire whole class period. 

Payment to Ching-Yi Wang via Zelle(530-665-9321) or Venmo @Chingyi-Wang-1. Please include the student's name in the memo.  


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Email *
Student First and Last Name *
Date of Birth *
MM
/
DD
/
YYYY
Gender *
Please Describe Your Child's Personality
 *
Parents/Guardian Name #1 *
Parents/Guardian Email Address #1 *
Parents/Guardian Cell Phone Number #1 *
Parents/Guardian Name #2 *
Parents/Guardian Email Address #2 *
Parents/Guardian Cell Phone Number #2 *
Parents/Guardian Address *
Emergency Contact and Phone Numbers (if parents not reached) *
Dr. Wang Music Studio Policy

Etiquette
No playing and eating in the studio. Respect our Studio equipment at all times. 

Pick-Up and Drop-Off
This is not a drop-off class.

Covid-19 Safety
Please do not attend class if you experience any symptom of illness. Please contact the Studio immediately if you have Covid-19. 

Student Contact Info
If there is any change in your email address or any contact info, please notify us at your earliest convenience.

 *
Required
Payment 
Tuition: $280 (8 weeks)
Annual Registration Fee: $30
Thank you!! 

We look forward to welcoming you. 

If you have any questions, please email drwangmusic@gmail.com or call the studio at (530) 665-9321.
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