ENROLLMENT FORM **required only for Weekly online lessons** Prior to Enrollment: I have communicated with Stephen Hughes prior to enrolling. Either via Live Consultation or email/phone exchange. This is necessary for acceptance into the Online Piano Program and making sure that there is current availability for lessons. Student Name Parent Name (if student is 18 or under) Email Address Phone Number Age of Student (Type AD if adult) LOCATION - Time Zone Your Available Days Monday Tuesday Wednesday Thursday Friday Saturday Sunday Preferred Time of Day - Based off Your Time Zone Morning Early Afternoon Late Afternoon Evening Lesson Length 1 Hour Weekly Lessons45 Minute Weekly Lessons Desired Course(s) of Study ClassicalJazzBluesRockPopChurch MusicTechnology TrainingCompositionMusic University PrepCombination of Courses Studio Policy & Rates I have read & understand the Studio Policy & Rates. (located under 'Studio Info') Enrollment Fees I understand that to complete the Enrollment Process I will need to Pay 'Registration/Technology Fee ($50), along with 1st Month Tuition (located on Online Payments page or by clicking 'MAKE PAYMENT') Additional questions and/or comments? SUBMIT FORM
