(Submit this form to guarantee your spot)
Birthday: mm /dd /yyyy /Age
Mailing Address (including city/zip)
How did you hear about us?
30, 45 or 60 minutes weekly
$30 for 30 minutes lesson
$45 for 45 minutes lesson
$60 for 60 minutes lesson
Private Piano Lesson (Ages 4+ yrs)
Please complete this form and let us know what time will you prefer for private lessons. Thanks
* Please bring your payment on the first day of the class.
No refunds or credits will be given for missed classes.
No refund will be available after 2nd class
Class credit rollover to the next semester or school year is not an option.
No photography or videotaping is allowed within the classrooms so as not to infringe upon the privacy of others.
* No food or drinks are allowed in the classroom
I release any and all rights and claims for damages against Mimi's Music Studio in the unlikely event
of injury sustained by myself
or my child as a result of this musical activity.
By submitting this form, you agree to the
class policies listed above
Create a free website