McElroy Piano Studio - Registration

Registration

Please read the Studio Policy and all pages relevant to you before submitting this form. You will be contacted to schedule a meeting before your registration is accepted (space and schedule permitting). Thank you.

Are you an adult student or the parent of a student?

I am a(n)

Adult Student Information

First name *

Last name *

Email *

Website URL *

Phone *

Alternate Phone

Birthday (example: mm/dd/yyyy) *

School *

Street *

City *

State/Province *

Zip/Postal Code *

Country *

Login Details

Username *

Password *

Verify Password *

*You will not be able to login until your teacher has activated your account.

Parent Information

First name *

Last name *

Email *

Website URL *

Phone *

Alternate Phone

Street *

City *

State/Province *

Zip/Postal Code *

Country *

Login Details

Username *

Password *

Verify Password *

*You will not be able to login until your teacher has activated your account.

Student Information

First name *

Last name *

Phone *

Birthday (example: mm/dd/yyyy) *

School *

Login Details

Username *

Password *

Verify Password *

Additional Information

Is student a beginner or transfer (if transfer, list length of study and with whom)?

List student's extra-curricular activities, any other instruments played, and any musical background of family members.

List any days and times that would be impossible for lessons, as well as scheduling preferences and other relevant information, if any.

State which type of lesson you prefer: In person at the studio, online, or a hybrid of both.

By checking the box and clicking 'Register" you agree to our studio policy.