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 2025 * Child 2 Name First Name Last Name Child 2 Grade in September Name of School * Who may I thank for sending you my way? How did you hear about me? * 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? * 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. * Which class are you signing up for? Sept 9, 2025-June 11 , 2026 * Tuesdays 4:45-5:30 (K-2nd) Wednesdays 4:15-5:00 (1st-4th) Wednesdays 5:00-5:45 (2nd-4th) Thursdays 3:45-4:30 (K-1st only) Thursday Tween Beginners 5:15-6:00 (5th-7th gr.) SUMMER MINI WEEK AROUND THE WORLD IN SONG K-4TH AUGUST 26, 27, 28 Summer Mini Week 4th-7th MUSIC FOR VIDEO GAMES August 26, 27, 28 I would like to schedule a time to come by and say hello before classes begin! Please write your Venmo or Paypal@for invoicing the Annual Registration fee. ($50) Due at summer sign up or by August 20 for the 2025-26 school year. By clicking below you are agreeing that you have read and agree to the POLICIES of this studio * STUDIO POLICIES I understand my child's spot will not be held until the annual registration/onboarding fee ($50.00) has been received. Venmo to @pianoadventuresbeacon. I have read and agree to the STUDIO POLICIES and understand my credit/debit card will be billed automatically 4 times throughout the year on the due dates. This is required unless paying in full for the school year. I understand there is a 60 day notice in writing cancellation policy with no refunds for processing fees ($25.00) annual registration fee ($50.00), or prepaid recital fees.($25.00) I understand there is a mandatory Spring studio recital on Sunday, June 7, 2026 and my child will participate in sharing their music! Thank you!
