REGISTRATION FORM

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Registration Form

We will respond within 48 hours of receiving your inquiry. Please check your spam folder if you haven't received a response from us.

* Indicates required field

Student's Name *

First

Last

Parent/Guardian's Name If the Student is Under the Age of 18 *

First

Last

The Age of the Student *

Phone Number *

Secondary Phone Number *

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Emergency Contact Name *

First

Last

Emergency Contact Phone Number *

Relationship to Child *

Class *

Private Piano Semi-Private Piano Private Guitar Semi-Private Guitar Private Vocal Semi-Private Vocal MUSICOCOTTE (Toddler Music Group)

Desired Lesson Length For Private Instructions *

30 minutes *Up to students aged 7 45 minutes 60 minutes I'm not sure

*Semi-private lessons must have 2 participants, as we do not offer participant matching.

Preferred Lesson Day(s) *Choose Any *

Monday Tuesday Wednesday Thursday Friday Saturday

General time frames that are most convenient for enrolling your child. *

*Instead of providing specific times like 4:00 pm, kindly indicate the earliest and latest times your child is available. This will assist us in effectively coordinating schedules for other students.

Please read all of our studio policies. If you come to our studio, you agree to the following:
Studio & Cancellation Policy and Payment Policy

Please check the box to agree to our studio & payment policies. *

I have read and agree

Comment *

Submit

18 Bridge Street Suite3G
Brooklyn, NY 11201
Phone & Text: 917-765-0770
Email: [email protected]

ABOUT US
- MEET OUR TEACHERS
PROGRAM
TUITION & POLICIES
CONTACT
Join Our Team

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