Student Name *
Student Name
Student Name (if more than one family member)
Student Name (if more than one family member)
Student Name (if more than two family members)
Student Name (if more than two family members)
Date of Birth *
Date of Birth
Class Type *
Class Length *
Parent/Guardian Name *
Parent/Guardian Name
From time to time, we take pictures or videos of students who have completed a book or have made progress with a particular song or activity. Some of these are posted to my website and/or Facebook and Instagram Page. We do not take pictures without your consent. *
I have read and understand the Studio Policy *