Studio Policy and Media Release Signature Form

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Please answer the following questions relating to the Stay n Play Piano Studio Policy & Media Release Information document and then type your name as a digital signature below.

Email *

I agree to pay the tuition and registration fees as outlined in the policy document as follows (no need to tell me if you've signed up for group or private, once you sign up for your lessons I will know what to charge you) *

Month to Month

Whole Year at Once

I have chosen to do the following regarding at home access of the Piano Marvel Software:

I would like to have access to the software at home for an additional monthly charge of $8 per student.

I would rather my student(s) not have software access at home beyond the free account offered by Piano Marvel.

Clear selection

I have a limited supply of rental equipment available this year (keyboards, headphones, stands, benches, etc.). It is first come first serve. Please indicate if you would like more information. *

Please send me information about renting equipment.

I do not need any rented equipment this year.

I have read the Media Release section of the Stay n Play Piano Studio Policy and Information document and: *

I give my consent to the Media Release for all students for which I am guardian.

I DO NOT give my consent to the Media Release for any of the students for which I am guardian.

I have read and agree to abide by the terms outlined in the Stay n Play Piano Studio Policy and Information document. (Please type your name) *

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