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? * Which session are you signing up for? * Families that sign- up for summer are given priority for Fall 2025. I have limited spots. FULL (join waitlist) Mini Week July 1, 2, 3 K-3 5:00-6:15 T/W/Thur SUMMER Mini Week July 29, 30, 31 K-3rd 5:00-6:15 T/W/Thurs SUMMER MINI Week August 26, 27, 28 K-3rd 5:00-6:15 T/W/Thurs *Best for new families interestedin joining for the school year 2025-26. School Year 25-26 TUESDAYS 4:45-5:30 Sept 9-May 31 (K-1st only) School Year 25-26 WEDNESDAYS 4:15-5:00 Sept 10- May 31 (1st-4th beginners) School Year 25-26 THURSDAYS 3:45-4:30 Sept 11- May 31 (Kindergarten only) 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. * Please write your Venmo @ for invoicing (Summer Only) By clicking below you are agreeing that you have read and agree to the POLICIES of this studio * STUDIO POLICIES I understand my child is not considered REGISTERED until the annual registration/onboarding fee ($60.00) has been received. Venmo to @pianoadventuresbeacon. I have read and agree to the STUDIO POLICIES under FAQ's in the menu. SCHOOL YEAR 2025-26 I agree to set up automatic withdrawal on payment due dates. I understand I always have the option to pay in FULL for the school year by check or Venmo, avoiding additional credit card fees. Thank you!