I can’t wait to meet you and get started on our piano adventure! Parent 1 Name * First Name Last Name Parent 1 Email * Parent 1 Phone (###) ### #### Mailing Address Address 1 Address 2 City State/Province Zip/Postal Code Country Parent 2 * First Name Last Name Parent 2 Email * Parent 2 Phone * (###) ### #### Child's Name * First Name Last Name Grade in September * Child 2 Name First Name Last Name Child 2 Grade in September Name of School * Which class are you signing up for? * Tuesdays 5:15- 6:00 (K-3RD) January 14- May 18, 2025 Wednesdays 4:00-4:45 (1st-3rd) FULL Join Waitlist Thursdays 4:00-4:30 (ages 4 1/2 In PreK - 1st gr. only) ONE OPEN SPOT Join us! Mondays PreNotes Ages 3-4 1/2 4:30-5:00 FULL but ongoing- Please Join Waitlist (4 max per class) Does your child have an IEP at school? Please tell me as much as possible to ensure sucess! * Is there anything you'd like me to know about your child? Visual or auditory processing challenges? Physical challenges? ADHD or focus issues at school? * How did you hear about me? * Please tell me about your piano or keyboard. It's best to place it in the heart of the home. Students should have a piano bench for sitting at the right height. Please read my FAQ section about your first piano if you have questions. * By clicking below you are agreeing to the POLICIES of this studio have read the following: * STUDIO POLICIES including make ups and stopping lessons under FAQ's in the menu Piano is not a drop off activity and my child will need parent help with assignments at home. I want my child to be successful and I realize that comes with taking an interest and encouraging them when skills or concepts feel difficult. I will Venmo the annual non refundable registration/onboarding fee ($60.00 per child) to @pianoadventuresbeacon to hold the spot/s I'm registering for. I will provide a credit/debit card to be charged on quarterly dates and agree to click AUTHORIZE auto pay when prompted to ensure timely payment. Thank you!