Enroll Your Student In Piano Lessons



If you are considering study at The Thomas Music Studio
Located in Beaverton, Oregon
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offering study in: Piano, Violin Electric Keyboard Accompanying
Please fill out this enrollment form.
(There is no obligation)
If you prefer, you may complete this form,
print out the completed form and then bring it with you at the time of the interview/audition.

 

Your First Name

Your Last Name

Students First Name

Students Last Name

Relation To Student

Street Address

City, State, Zip

Email

Phone
Day Evening

Age

4 5
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10 11
12 13
14 15
16 17
College Adult

Practice Instrument

If Keyboard How Many Octaves