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Mallimo Piano Studio
Summer 2022 Registration Form
The Summer Term runs from Monday 27 June through Friday 3 September.
For current students, all forms MUST BE RECEIVED by Friday 17 June.
For new students who begin later, forms and tuition will be accepted throughout the summer.
Summer Term 2022 Policy and Calendar (click to view)
Both New and Current Students
Student Information
*
Indicates required field
Student(s)
*
Parent/Guardian Name (if student is under the age of 18)
*
First
Last
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Email
*
Age of Student(s)
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Phone Number
*
Only New Students
Experience and Instrument Survey
You will need to own an instrument before starting lessons:
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.)?
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Do you own a digital piano (i.e., not a 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: recitals, festivals, or competitions; other instruments played; participation in school chorus, band, or orchestra, etc.
*
Both New and Current Students
Attendance Choice
Choose One
*
In-Person @ UUC
Remote on Zoom/FaceTime
Mix of both
Plans and Scheduling
*
For the Summer 2022 Term, lessons will be offered Monday-Friday.
Summer Lesson-Plans
*
8-lesson plan (1st Priority Fall Registration)
6-lesson plan (2nd Priority Fall Registration)
Place-holding fee/up to 4 lessons (3rd Priority Fall Registration)
Unregistered (giving up place on studio roster)
Week of Monday 27 June
Attending
*
Yes
No
Please List All Available Days and Time-Windows, at Least 2 Hours in Length (ex. Monday 4-6, Wednesday 3-5, etc.). Write "None" if Not Attending.
*
Week of Monday 4 July
Attending
*
Yes
No
Please List All Available Days and Time-Windows, at Least 2 Hours in Length (ex. Monday 4-6, Wednesday 3-5, etc.). Write "None" if Not Attending.
*
Week of Monday 11 July
Attending
*
Yes
No
Please List All Available Days and Time-Windows, at Least 2 Hours in Length (ex. Monday 4-6, Wednesday 3-5, etc.). Write "None" if Not Attending.
*
Week of Monday 18 July
Attending
*
Yes
No
Please List All Available Days and Time-Windows, at Least 2 Hours in Length (ex. Monday 4-6, Wednesday 3-5, etc.). Write "None" if Not Attending.
*
Week of Monday 25 July
Attending
*
Yes
No
Please List All Available Days and Time-Windows, at Least 2 Hours in Length (ex. Monday 4-6, Wednesday 3-5, etc.). Write "None" if Not Attending.
*
Week of Monday 1 August
Attending
*
Yes
No
Please List All Available Days and Time-Windows, At Least 2 Hours in Length (ex. Monday 4-6, Wednesday 3-5, etc.) Write "None" if Not Attending
*
Week of Monday 8 August
Attending
*
Yes
No
Please List All Available Days and Time-Windows, at Least 2 Hours in Length (ex. Monday 4-6, Wednesday 3-5, etc.). Write "None" if Not Attending.
*
Week of Monday 15 August
Attending
*
Yes
No
Please List All Available Days and Time-Windows, at Least 2 Hours in Length (ex. Monday 4-6, Wednesday 3-5, etc.). Write "None" if Not Attending.
*
Week of Monday 22 August
Attending
*
Yes
No
Please List All Available Days and Time-Windows, at Least 2 Hours in Length (ex. Monday 4-6, Wednesday 3-5, etc.). Write "None" if Not Attending.
*
Week of Monday 39 August
Attending
*
Yes
No
Please List All Available Days and Time-Windows, at Least 2 Hours in Length (ex. Monday 4-6, Wednesday 3-5, etc.). Write "None" if Not Attending.
*
Please note before submitting your form:
*
I have read, understand, and agree to the Summer Term Studio Policy.
Summer Term Studio Policy
Click/Press to Submit