New Student Registration Student's Name * First Name Last Name Student's Date of Birth * MM DD YYYY Student's Home Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Student's Grade * 1st 2nd 3rd 4th 5th 6th 7th 8th & Above Student's School * Double Eagle Elementary Hubert Humphrey Elementary Northstar Elementary Georgia O'Keeffe Elementary S.Y. Jackson Elementary Osuna Elementary Any Other School Parent 1's Name * First Name Last Name Parent 1's Phone * (###) ### #### Can this number can be texted with updates from ABQ Piano Lab? Message and data rates may apply. Yes No Parent 1's Email Address * Parent 2's Name First Name Last Name Parent 2's Phone (###) ### #### Can this number can be texted with updates from ABQ Piano Lab? Message and data rates may apply. Yes No Parent 2's Email Address Photo Release * I hereby grant permission to Piano One Music, LLC, DBA ABQ Piano Lab, and Katie Han to use photographs, videos, and/or written testimonials in print, online or other forms of communication of my child to promote the mission of the music studio. I Grant Permission I Do Not Grant Permission What is your hope for your child's piano experience? Does your child have any medical issues or allergies we should know about? Is there anything you'd like to share about your child to help us be the best possible teachers for them? Thank you!
