New Student Registration

Parent First Name *

Parent Last Name *

Address

Street Address *

City

State

Postal code

Phone *

Email *

Student Full Name *

Student Date of birth *

School Student Attends *

Instrument *

Length of Previous Muisc Study *

Gender *

What are your music goals for your student? *

Does your student have food allergies, a learning disability or a special need that will effect their music education? *

I understand photos and videos are often taken at recitals and in lessons to highlight a student’s progress. And recitals are sometimes streamed for out-of-town family and friends to view live. Parent grants Note by Note Music Studio the irrevocable right to use, reproduce, and distribute photographs and or video of my student for posting on social media platforms, for promotional purposes, without compensation or notification. *

I agree

I do not agree

Payment Consent *

I understand Lesson Tuition is a flat rate paid every month and due on the 1st of the month regardless of the number of lessons taught. Tuition will automatically be charged on the card provided. Contact [email protected] to stop lessons or with questions.

I Consent to Receive SMS Notifications, Alerts & Occasional Marketing Communication from Note by Note Music Studio. Message frequency varies. Message & data rates may apply. You can reply STOP to unsubscribe at any time.

We love sharing the joy of music throughout DFW!

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