Registration Form

Welcome to The Studio Connection, a place of musical discovery and development!

We are very excited to have you register with us and start your music lessons. In order to make things most convenient for our students during these difficult times, we have made an online registration form. To complete your registration for lessons, please fill out the form below. Once we receive the completed form, we will call you for your billing information. Please select the times of day that are best to call you, and we will do our best to call within that timeframe.

Registration Form 2020-21

* Indicates required field

Student Name *

First

Last

Student Birthday *

Grade Fall 2020 *

School *

Medical Conditions *

Yes No

If you answered "yes" for the above question, please explain: *

Instrument *

Teacher *

Day and Time of Weekly Lesson *

Date of First Lesson *

Today's Date *

Parent 1 *

First

Last

Phone Number *

Email *

Parent 2 *

First

Last

Phone Number *

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

I give The Studio Connection permission to use: *

A photo or video of my child with names attached A photo or video of my child with no names attached Only group photos with no names attached None

Please list the days and times that are best to call you for billing information *

Submit