Registration — Symphonos Studio

Student's Name

First Name

Last Name

Preferred pronouns (optional)

Parent/Guardian's Name (if under 18)

First Name

Last Name

Age of Student

Adult

Child (5 - 8)

Child (9 - 12)

Teenager (13 - 17)

Student's Birthday (mm/dd/yyyy)

YYYY

I am interested in:

Piano

Voice

Composition/Songwriting

Student's Email (if different from above)

Phone Number

Texting OK?

Yes

Prior experience (please describe)

Do you have any specific goals?

Please list your weekly availability (all)

Lessons & payment

(No payment is due at this time)

Thank you for registering! Symphonos Studio will reach out shortly with information about rates and to schedule your lessons.

Ready? Let’s begin!