MAJN Form 2019
Email address *
Student last name, first name:
Your answer
Student's date of birth:
Parent/Guardian's name (last, first):
Your answer
Phone number:
Your answer
Street Address (street, city, zip code):
Your answer
Instrument Choice (check all that apply):
Lesson type and length:
How did you hear about us?
May we use photos from our class of you or your child in our marketing materials?
Agreement: I have read, understand, and agree to the terms of the Studio Policy.
Read here:
I understand that when registering for lessons I am committing to a full Session (13 Lessons) and will be billed accordingly.
Payment method:
I give MAJN permission to auto deduct tuition for each Session.
Questions, Comments, or Special Needs?
Your answer
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