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    This registration form is for Heidi Wiens Music Studio located in Olathe, KS. It collects contact information for students and parents such as name, address, phone numbers and email addresses. It also asks for details like the student's birthdate, current age, school and grade. Parents must sign agreeing to abide by the studio's 2020-2021 policy statement.

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    This registration form is for Heidi Wiens Music Studio located in Olathe, KS. It collects contact information for students and parents such as name, address, phone numbers and email addresses. It also asks for details like the student's birthdate, current age, school and grade. Parents must sign agreeing to abide by the studio's 2020-2021 policy statement.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    305 views1 page

    Registration

    Uploaded by

    api-322865462
    This registration form is for Heidi Wiens Music Studio located in Olathe, KS. It collects contact information for students and parents such as name, address, phone numbers and email addresses. It also asks for details like the student's birthdate, current age, school and grade. Parents must sign agreeing to abide by the studio's 2020-2021 policy statement.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
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    HEIDI WIENS MUSIC STUDIO

    13214 South Fox Ridge Drive


    Olathe, KS 66062
    (913) 780-6887
    wiensmusicstudio.weeby.com
    wiensmusicstudio@gmail.com

    Registration Form
    Student’s Name_________________________________________________________________

    Parent’s Name(s)________________________________________________________________

    Street Address__________________________________________________________________

    City__________________________________State______________Zip___________________

    Parent’s Business (or cell) Phone__________________Home Phone______________________

    Student’s Cell __________________________________________________________________

    Student’s e-mail ________________________________________________________________

    Parental E-Mail Address_________________________________________________________

    Birthdate________________________Current Age_________________School Grade________

    School________________________________________________________________________

    Type of Piano at home___________________________________________________________

    Special educational needs_________________________________________________________

    We have read the 2020-2021 Heidi Wiens Studio Statement of Policy and agree to abide by it.

    Student_______________________(date)________

    Parent________________________(date)________

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