Registration Form

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Registration S Form

* Indicates required field

Student Name *

Date of Birth *

Parent's Names (If Applicable) *

Phone *

Email *

Address *

City *

State *

Zip *

Lessons on which Instrument? *

Name On Debit/Credit Card *

Debit/Credit Card Number *

Expiration Date *

CVC Number *

Years of experience with music or Instrument *

Lesson Day *

Lesson Time *

Lesson Length *

Where did you hear about us? *

Goals *

Comments or Questions *

Lesson Policy *

: We require a 24 hour notice to be able to reschedule a lesson. If a student has to miss a lesson in less than the 24 hour notice period, the teachers will do their best to set up a lesson on another day to make it up, if that's not possible, they can add time to their lessons for the next few weeks. (i.e. 15 minutes extra time for 3 weeks for a regular 45 minute lesson). Complete cancelation of all future lessons requires 2 weeks notice. : Payment Policy: For the first lesson we only charge for that one lesson. If you love the lesson and want to sign up for weekly lessons, we charge you by the month in advance. We charge on the first of every month in advance for all the lessons that month. All charge related questions go through the school, not the teachers.

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We've Been Voted "Best Piano Lessons in Burbank"
for the past 3 years.