Studio Registration

Student Information
Student Name *
Student Name
Student Birthday *
Student Birthday
Parent Information
Parent Name *
Parent Name
Parent Phone Number *
Parent Phone Number
Emergency Contact Information
Emergency Contact Name *
Emergency Contact Name
May be another parent, relative, sibling over age 18, or local contact.
Emergency Contact Phone *
Emergency Contact Phone
Lesson Information
Schedule Flexibility *
Please indicate how flexible your schedule will be during this academic year
Studio Policies *
Please check the box below if you have read and agree to the studio policies.
Are you interested in any of the following?
Please select from the options below