Parent or Guardian

Name

First Name

Last Name

Email Address

Please list your 2 preferred day(s) & time(s) you would like to have a lesson

I do my best to accommodate all requests, although with many students, I might not be always able to.

When would you like lessons?

Every Week

Every Other Week

Once A Month

Policy & Scholarship

Have you read through the Studio's Policy & Scholarship and do you agree to abide it?

Yes

Child #1

First Name

Last Name

Child #1 Age

Child #1 Lesson Length

Child #2

First Name

Last Name

Child #2 Age

Child #2 Lesson Length

Child #3

First Name

Last Name

Child #3 Age

Child #3 Lesson Length

Child #4

First Name

Last Name

Child #4 Age

Child #4 Lesson Length

Child #5

First Name

Last Name

Child #5 Age

Child #5 Lesson Length

Treasured Moments Studio

2023-2024 Piano Scheduling Form