Registration Form

Student Information
Student's Full Name *
Student's Full Name
Parent/Guardian Info
Parent/Guardian Full Name *
Parent/Guardian Full Name
Address *
Primary Phone *
Primary Phone
Secondary Phone
Secondary Phone
Plans of Study
Mr. Kline (As Scheduled)
I, (Parent/Guardian Name) *
I, (Parent/Guardian Name)
, the parent/guardian of
(Student Name) *
(Student Name)
Have read and understand the printed policies of Now Embodied Sound Studio and agree to enroll the student listed above in piano lessons from September 2019 to August 2020. I agree to pay the annual amount listed above, and I further agree that should I withdraw my child from piano during this period, I remain responsible for the full annual tuition.
Digital Signature *
Digital Signature
Today's Date *
Today's Date