Enroll

I have read and do understand the studio policies and hereby agree to adhere to all studio policies as stated including COVID19 regulations. The policies outlined on this website and agreed to are for the calendar year of September 1, 2022 - August 31, 2023.(required)

Student First Name(required)

Student Last Name(required)

Parents' First Names(required)

Parents' Last Names(required)

Student Grade In School(required)

Student Birthday(required)

Lesson Length (required)

Preferred Contact Number (please label name and mobile/home):(required)

Alternate Contact Number (please label):(required)

Street Address(required)

City(required)

Zip Code(required)

Email Address(required)

Please list any pertinent information I should know about your child (allergies, musical background, learning challenges, etc):(required)

I grant permission for Piano Passionato to use my child's picture and/or video from recitals and other piano events on this studio website. Specific personal information (student's name) will not be used to protect students' identities.(required)

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