Registration Form

Piano Registration Form for 2019-2020

Please fill out and return the fall registration form to the studio with your registration fee to reserve your lesson slot. Indicating several options for lesson times will help me arrange the studio in a way that is best for every one.  Please note that registration is on a first come-first serve basis.  I plan to teach during the following times:

    Mondays: 3:00PM-9:00PM

    Tuesdays: 1:00PM-9:00PM

    Wednesdays: 1:00PM-5:30PM

Thursdays: 1:00PM-9:00PM


Student Name *
Student Name
Birth Date *
Birth Date
Parent / Guardian *
Parent / Guardian
Phone (Home)
Phone (Home)
Phone (Mobile)
Phone (Mobile)
Phone (Work)
Phone (Work)
Address *
Last Date Tuned / Serviced
Last Date Tuned / Serviced
Preferred Lesson Time *
Preferred Lesson Time
Lesson Time Exchange
Yes, please include me in the lesson time exchange program. I understand that my name and phone number will be available to other students.
Student Enrollment Agreement *
I am enrolling my child in the Waggoner Music Studio for the 2019-2020 school year. I have read and agree to abide by the policies stated in the studio policy regarding attendance, practice, payment, and parental support.
Date of Agreement *
Date of Agreement
Please Note:
There are a limited number of lesson slots available. Lessons will be scheduled on a first come, first serve basis. Registration fee: Individual: $50 Each additional family member $30 Please indicate if you paid this registration fee in the summer.