Student's Name(s) *

Siblings may use one enrollment form

First Name

Last Name

Parent/Guardian's Name *

First Name

Last Name

Phone Number *

(###)

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Second Parent/Guardian Name

First Name

Last Name

Phone Number

(###)

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Lesson Length *

For siblings who share time, please select the total combined time.

30 minutes

45 minutes

60 minutes

Number of Lessons *

For Fall Semester (August to December)

10

11

12

Payment Method *

One payment (Due 8/5)

Installment Plan (Two equal payments due 8/5 and 9/25)

Studio Policy Agreement *

I have read and agree to abide by the Studio Policy.