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Prestige Music Studios Private Lesson Registration
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Today's
Date:
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ACCOUNT NAME: Name of Parent(s) if the Student is under the Age of 18, OR, Name of the Adult Student:
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Address
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City
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State (2 letter abbreviation)
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Zip Code
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Email Address
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Confirm Email Address
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Home Telephone Number,
with Area Code (ex: 6145551212):
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Cell Phone Number,
with Area Code (ex: 6145551212):
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Work Telephone Number,
with Area Code (ex: 6145551212):
Student Information:
Please be clear! If you don't know whether you prefer Suzuki or Traditional method, simply type "Unknown" and we will help you.
First & Last Name
Age & Date of Birth (MM/DD/YY)
Instrument(s)
Suzuki or Traditional
In Home or In Studio
30, 45 or 60 minute weekly lesson
1, 2 or 3 lessons per week
Student 1
Student 2
Student 3
Student 4
Student 5
When are the students available for lessons? If each student has different availability, please be sure to specify clearly so that we understand and can properly assign a teacher, day and time. We are open 9am-9pm Monday - Friday, 9am-4pm Saturday and 12-6pm Sunday.
Please provide as much availability as possible
so that we can make the best teacher match for each student.
Start no earlier than:
End no later than:
Preferences/Comments:
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
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Please tell us a few things: 1) Do you need information on the rental or purchase of an instrument? 2) If you do need information, what is your budget on an instrument? They range from around $100 to several thousand dollars, so please do give us a range so that we can coordinate a few options for you. 3) If you already have an instrument at home, please let us know what it is so that we can make sure it is appropriate for lessons (the make and model, and which instrument).
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Please elaborate on the students' prior experience, methods used, years of lessons, other instruments studied and other music experience. If none, that's ok! Please also let us know about the student's personality and learning style, as well as what kind of music they like or any special interests. This will help us with teacher matching. Be sure to include information on each student!
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Where did you hear about us? Please check all that apply.
Google
Yahoo
Wiki
ThisWeek Newspaper
Suburban Newspaper
Columbus Parent
Mailing
Flyer
Referral
Employee of Prestige Music Studios
Expo or Booth
City Scene Magazine
Facebook Ad
Chamber of Commerce
School Music Teacher (be sure to tell us his/her name below!!)
Other
Additional details about where you heard about us (be sure to let us know of the name of someone who referred you, and if it was from someone in a group, organization or school, be sure to tell us that name as well as the individual's name):
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Why have you chosen Prestige Music Studios? It will help us for the future to know!
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When would you like to begin your lessons?
Do you have any other questions, comments or information to share?
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Please double check the form for accuracy.
Upon receipt of your registration form and registration fee, we will assign your teacher, day and time based on the personality, interests, learning style, level and availability of the student(s).
The registration fee is
non-refundable
, unless we fail to find a teacher, day and time based on the information you submitted on this form.
The registration fee goes toward our Resource Library and also includes a consultation with a member of management after the first two (2) lessons. If you would like to have this consultation, it may be scheduled with the parent(s) of the student(s) by calling 614.764.4000 and asking for Mrs. Brenner. This is a great opportunity for you to get more information on lessons and how you can help your child(ren) succeed in lessons!
Following this field and after payment, you will be taken to a Client Agreement page. Please be sure to complete the online Client Agreement that confirms policies and other information that may be found on our web site. Thank you!
NEW FAMILIES: Family Registration Fee ($45)
RETURNING STUDENT: Re-registration Fee ($20)
CURRENT FAMILY: Already a client, adding a new student ($0)
If you are registering with a special, please enter its code here. The savings will not be reflected on your registration form here, nor your payment page to follow. Please remit payment for the full amount shown. However, the adjustments will be made by management on your account when it is set up, and you will see your savings on your first statement.
After hitting submit below and completing the payment, you will be taken to the page with the Client Agreement. If you are unable to complete the Client Agreement and need to complete it later, the direct link is
here
. However, this must be completed by the day before your first lesson, so please be sure to complete it very soon!
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Prestige Music Studios, Inc.
46 Village Pointe Drive
Powell, Ohio 43065
614.764.4000