Parent Name *

First Name

Last Name

Student Name *

Additional Student Names available later in the Registration Form.

First Name

Last Name

Student Date of Birth *

The student will receive something special in the mail each year for their birthday!

MM

DD

YYYY

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

Lesson Preference *

In-Studio Lessons in the Land O Lakes/Lutz area

In-Home Lessons in the Tampa Bay area

Online Lessons Anywhere

Type of Lessons (Check all that apply) *

Piano

Guitar

Voice

Ukulele

Drums

Preferred Lesson Length *

30 Minutes Weekly

45 Minutes Weekly

60 Minutes Weekly

Is your child starting lessons for the first time with our studio? *

Yes, my child is beginning music lessons for the first time.

No, my child has taken lessons previously from another teacher or studio.

If your child has taken lessons previously, what level would you describe them?

Beginner (taken lessons 1-3 years)

Intermediate (taken lessons 4-6 years)

Advanced (taken lessons 7+ years)

Do you have a musical background? (It's okay if not) :) *

Have you every played an instrument as a child or as an adult?

Yes

No

Do you have a piano/keyboard, guitar, ukulele or drum kit at home? *

Yes

Not yet, but I'm working to get one before lessons start.

Does your child have space in their schedule to practice regularly? *

We encourage practice 5 days a week to ensure great progress! We understand this goal is ideal, but does not fit every family's schedule.

Yes

No

Do you want your child to learn any or all of the following styles?

This info helps us know what supplemental music motivates your child!

Classical

Pop/Top 40

Broadway/Movies & TV Shows

Jazz/Blues

Worship/Church

Would you like for your child to participate in the studio concerts? *

The studio offers concerts at Christmas and in the spring. Both in-person in the Tampa Bay area

Yes, please give me more info when the time comes..

No, not at this time.

Have you followed @hudsonpianostudio on Facebook/Instragram/YouTube yet?

This is a great source for up-to-date info and student success stories!

Yes

No, not on social media.

Are you a Step Up For Students scholarship recipient? *

Lessons can be funded by the SUFS scholarship program for students with unique abilities or enrolled in homeschool or private school.

Yes

No

Is your SUFS student on Legacy or EMA system?

Legacy invoices on the last Friday of each month and requires approval. EMA requires Reserved Funds in advance. A clear explanation will be provided on each process.

Legacy

EMA

Additional Student Name (Student #2)

First Name

Last Name

Additional Student Date of Birth (Student #2)

MM

DD

YYYY

Is your SUFS student on Legacy or EMA system?

Legacy invoices on the last Friday of each month and requires approval. EMA requires Reserved Funds in advance. A clear explanation will be provided on each process.

Legacy

EMA

Additional Student Name (Student #3)

First Name

Last Name

Additional Student Date of Birth (Student #3)

MM

DD

YYYY

Is your SUFS student on Legacy or EMA system?

Legacy invoices on the last Friday of each month and requires approval. EMA requires Reserved Funds in advance. A clear explanation will be provided on each process.

Legacy

EMA

Additional Student Name (Student #4)

First Name

Last Name

Additional Student Date of Birth (Student #4)

MM

DD

YYYY

Is your SUFS student on Legacy or EMA system?

Legacy invoices on the last Friday of each month and requires approval. EMA requires Reserved Funds in advance. A clear explanation will be provided on each process.

Legacy

EMA

I have read and agree to the Hudson Piano Studio Policies and Procedures *

YES

NO

Date *

MM

DD

YYYY