REVELL MUSIC
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Home
Piano Lessons
piano lessons policies
Reviews
Registration form
Live Shows
About Adam
Contact
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YOUR CART
student registration form
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Indicates required field
Name (please register each student separately)
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First
Last
If registering more than one sibling, fill out and submit a registration for each student.
Registration is for:
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Spring, 2022
Summer, 2022
Fall, 2022
adult lessons package
Choose One
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Continuing student
Transfer Student
New Student
Best Phone Number (leave blank if continuing student)
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What type of phone line is it?
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Cell
Home
Work
Alternate Phone Number
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What type of phone line is it?
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Cell
Home
Work
Other
Email address
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Parent name(s) if applicable
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Address (leave blank if continuing student)
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Line 1
Line 2
City
State
Zip Code
Country
Please select your lesson type and length
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60 minute lessons in person
45 minute lessons in person
30 minute lessons in person
60 minute online lessons
45 minute online lessons
30 minute online lessons
10-lesson package (adult students)
5-lesson package (adult students)
Please list all of your weekly availability. Use specific days and times.
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For example, you could say "we are available Mondays from 4 to 7, and Thursdays after 1pm." Please don't use general terms, like "afternoons"
Please list any dates you will be away during the term for which you are registering.
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How did you hear about Adam Revell?
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Comments or questions
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By registering for piano lessons on a weekly basis, I am paying for a weekly scheduled time, and am committing to being present and on time to scheduled lessons. I have read the
piano lesson policies
and understand them.
Please select one
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I agree, and wish to register
I am contacting you about something else (please indicate in the "comments or questions'" field)
Register now