JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Summer 2024 Registration Form
Please carefully read the
SMS Summer 2024 Studio Policy
before completing and submitting the Registration Form below. After this form is submitted and processed, an invoice will be emailed to you.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Parent/Guardian Name:
*
Your answer
Address:
*
Your answer
Home Phone Number:
*
Your answer
Cell Phone Number:
*
Your answer
Email:
*
Your answer
Child #1 Full Name:
*
Your answer
Child #1 Date of Birth:
*
MM
/
DD
/
YYYY
Child #1 School Name & Grade Level Completed in June 2024
*
Your answer
Child #2 Full Name:
Your answer
Child #2 Date of Birth:
MM
/
DD
/
YYYY
Child #2 School Name & Grade Level Completed in June 2024
Your answer
Child #3 Full Name:
Your answer
Child #3 Date of Birth:
MM
/
DD
/
YYYY
Child #3 School Name & Grade Level Completed in June 2024
Your answer
Are there any allergies (food or otherwise), special needs, or health/medical conditions the instructor should be aware of?
*
Your answer
Please select the Summer Programs you'd like to enroll in (Select ALL that apply):
*
Piano Prep for PreK & Kinders: 3-lesson bundle
Piano Prep for PreK & Kinders: 5-lesson bundle
Piano for Children/Teens/Adults: 3-lesson bundle
Piano for Children/Teens/Adults: 5-lesson bundle
Required
Please give additional details about your program selection above (ex. 45-minute or 60-minute lesson length, requested dates and times for lessons)
*
Your answer
By checking the box below, you indicate that you have read, understood, and agree to abide by the terms of the
Serenata Music Studio Summer 2024 Studio Policy
.
*
I agree
Required
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
