Mackerman Music Studio-Piano Lessons
 

   Piano Lessons near  St. Anthony Park, Roseville, Lauderdale, St. Paul, Minneapolis

 

SUMMER SESSION 2018 REGISTRATION
June 19 - August 1

To register for lessons, please complete and submit the following by 1st lesson:


1. Signed Teacher’s Studio Policy form

2. Tuition: 7 weeks - $196

3. Registration form for each student (below).


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Summer Session 2018 Piano Student Registration


Please complete for each student and bring to your 1st lesson.


Student Name: _______________________Nickname (if any) _______


Home Phone: _________Address: ___________________Grade: ____ Age: __ Birthday______

City, State, Zip ________________________________


School:__________________________________________________________


Mother’s Name/Work Phone:   __________________ Cell Phone: ____________________


Father’s Name/Work Phone:   __________________  Cell Phone:   ___________________  



In case I need to contact this student’s parent during the day, and neither parent can be reached at home, please provide at least one work email address below.


Mother’s Email: ____________________________________________


Father’s Email: _____________________________________________


Emergency Contact Name: _______________________________________


Emergency Contact Phone: ______________________________________


Student's musical experience (if any):

______________________________________________________________


_______________________________________________________________.


Referred by (if anyone):


______________________________________________________________




PIANO INSTRUCTION

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