Fall 2020 Registration Form

Mallimo Piano Studio
Fall 2020 Registration Form

The Fall Semester Billing/Attendance Cycle and Schedule begins on Tuesday 8 September.
All Registration Forms are due by Tuesday 1 September.
- Any forms received after the due date will be considered late and may affect one's schedule choices and options.
Incomplete or incorrectly filled out Registration Forms will be disregarded.

This Section is to be Completed by
Both New and Current Students

* Indicates required field

Parent/Guardian (if student is under the age of 18) *

First

Last

Student(s) *

Age of student(s) *

Email *

Phone Number *

This Section is to be Completed Only by New Students

Students Can Only Take Lessons If They Have An Instrument To Practice On

Do you own a piano? *

Yes No

If so, what kind is it (upright, baby grand, grand) and what is the make (Yamaha, Steinway, Boston, Kawai, etc.)? *

Do you own a digital piano or keyboard? *

Yes No

If so, what is the make and model (i.e. Yamaha P85) and does it have 88 weighted keys? *

Musical Experience

Are you a beginning student (never had piano lessons before)? *

Yes No

Are you a transfer student (currently studying with another teacher but looking to make a change)? *

Yes No

If so, please give a short explanation as to why. *

Please give a brief description of any past or current musical experience. *

How did you find us? *

This Section is to be Completed by
Both New and Current Students

Schedule Request Requirements:

All requests must be in the form of 2 to 3.5-hour time windows.
Please provide at least 3 different days of availability:
- i.e., Tuesday 3-5:30, 4-6:30, and 6-8:30 is one 5.5-hour time window.
Please do not request a specific day and time (i.e., Wednesday at 4:30).
- These requests will be immediately disregarded.
Lessons are scheduled Monday through Friday, between 2:30 and 8:30.
- Please make sure your time windows fall within these ranges.

Please Note:

We need to make the most efficient use of the small amount of time we have each day to fit everyone in. Please keep the following in mind:
- Older students are able to come late in the day while younger ones usually cannot.
- Some Montclair middle schools get out early enough that students are able to take a lesson at 2:30.
For families who have multiple students in the studio please provide BOTH:
- Options where students attend separately on different days as well as together on the same day.
If you cannot provide an option for a required field, feel free to fill in "none," however:
- Submitting fewer than 3 options, providing time windows shorter than 2-3.5 hours, or requesting only a specific day, may make it difficult or impossible for us to give you a place in the studio schedule.

1st Choice:

Choose a Day of the Week from the Dropdown Menu: *

2 to 3.5-Hour Time Window *

2nd Choice:

Choose a Day of the Week from the Dropdown Menu: *

2 to 3.5-Hour Time Window *

3rd Choice:

Choose a Day of the Week from the Dropdown Menu: *

2 to 3.5-Hour Time Window *

Additional Option:

Choose a Day of the Week from the Dropdown Menu: *

2 to 3.5-Hour Time Window(s) *

Friday Availability:

As much as we would like to only teach Monday through Thursday, it is impossible for us to fit everyone into a 4-day schedule.
- We really do not want to be put in a position where we have to choose who to keep and who to let go.
It is crucial that we each have at least 5 or so students be available for lessons on Fridays.
- If Friday was one of your choices above, please write in see above.
- If not, please let us know if you'd be available for a Friday lesson (even as a last resort); if you are, we'd greatly appreciate it!

If necessary, during which 2 to 3.5-hour time window could you be available on Friday? *

General Scheduling Notes:

Comments, Concerns, Questions *

Studio Policy:

Please note before submitting your form: *

I have read, understand, and agree to the Studio Policy.

Academic Year Policy

Click/Press to Submit

Mallimo Piano StudioFall 2020 Registration Form

​​​This Section is to be Completed by ​​Both New and Current Students

​This Section is to be Completed Only by New Students

Students Can Only Take Lessons If They Have An Instrument To Practice On

Musical Experience

​This Section is to be Completed by ​Both New and Current Students

Schedule Request Requirements:

Please Note:

1st Choice:

2nd Choice:

3rd Choice:

Additional Option:

Friday Availability:

General Scheduling Notes:

Studio Policy:

Mallimo Piano Studio
Fall 2020 Registration Form

This Section is to be Completed by
Both New and Current Students

This Section is to be Completed Only by New Students

This Section is to be Completed by
Both New and Current Students