New Students
Welcome to 89th Key Music Studio!
New Student Registration Form
Student's Name:
Birthday:
Sex:
Desired Start Date:
Please list any medical conditions or food allergies:
Experience:
Student's Name:
Birthday:
Sex:
Desired Start Date:
Please list any medical conditions or food allergies:
Experience:
Student's Name:
Birthday:
Sex:
Desired Start Date:
Please list any medical conditions or food allergies:
Experience:
Parent/ Guardian Information:
Last Name:
First Name:
Address:
City:
State:
Zip Code:
Home Phone:
Mobile Phone:
Work Phone:
Other Phone:
Email Address:
Emergency Contact (Other than parent/ guardian):
Name:
Phone Number:
Preferred Lesson Day:
1st Choice:
2nd Choice:
3rd Choice:
***Please note: lessons do not start earlier than 2:00pm on Mon, Tues, Wed & Thurs unless special arrangement are made in advance with your teacher and studio management.
Preferred Lesson:
Preferred Instrument or Lesson:
We are so glad you're here! How did you here about our studio?:
