WINTER REGISTRATION
REGISTRATION
STUDENT NAME __________________________ CONTACT NAME ___________________
ADDRESS ____________________________________________________________
TELEPHONE _________________________ EMAIL ___________________________
SCHOOL NAME/ GRADE/
or HOMESCHOOL __________________________ LEVEL __________________________
INSTRUMENT(S) __________________________ and/or __________________________
INSTRUMENT MEMBER of
RENTAL NEEDED? __________________________ SCHOOLBAND? ____________________
PREFERRED DAY
for LESSON __________________________ or ___________________________
PREFERRED TIME
for LESSON _________________________ or ___________________________
SCHOOLBUS
DROPOFF NEEDED?__________________________ BUS #___________________________
COMMENTS ___________________________________________________________
Call or Text (860) 307-9611 or Email: pianoandante.goshen@hotmail.com
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Practice!
Bring home milk ~
Go shopping locally!
Rent band instrument at Piano Andante!!
Today's "To Do" List
* *
Piano and Instrument Students:
LESSONS WITH Miss Susan are
held at her home in Morris...
See "Weekly Calendar" to view all
open time blocks in Goshen & Morris!
Lessons Held M-S in Goshen, M-F in Morris., as displayed on Weekly Calendar.
