Becky Morris Piano Studio
Student Registration Form - Beginner Piano Camp
February 7 / 9 / 11
Ages 9-14
Parent/Guardian Info
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Student Info
Name
*
First Name
Last Name
Age
*
Student's Preferred Pronouns
*
she/her
he/him
they/them
Other
Experience (if none, write "none")
*
Does student have access to a piano or keyboard at home?
*
Yes
No. And if no, I am selecting this box to agree that student will have access to a home piano or keyboard by the first day of camp
Student 2 Info
(only applicable if registering 2 children)
Name
First Name
Last Name
Age
Student's Preferred Pronouns
she/her
he/him
they/them
Other
Experience (if none, write "none")
Does student have access to a piano or keyboard at home?
Yes
No. And if no, I am selecting this box to agree that student will have access to a home piano or keyboard by the first day of camp
Add any additional relevant information below
Additional Comments
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Beginner Piano Camp (1 child)
$
150.00
Beginner Piano Camp (2 children)
$
275.00
Submit Application
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