Student Name
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First Name
Last Name
Parent Email Address 1: Please list the address you'd like to use for Portal Assignments AND Tuition Invoices
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Parent Email Address 2: Please list a secondary address you'd like to use for Portal Assignments
PARENT PRIMARY PHONE:
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(###)
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Student Email Address: Portal assignments are sent to any student email provided.
Student Phone Number: By providing this information you are providing permission for Mrs. Tallamy to communicate directly with your student regarding their music study.
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TUITION PAYMENT PREFERENCE:
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Monthly
Quarterly
Annual
MY STUDENT IS RETURNING FOR:
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General Study Path (30min)
Performance Study Path (45min)
Performance Study Path (60min) (By teacher approval only)
ANY ADDITIONAL CONTACT & STUDY CHANGES
Please list any additional changes that may have occurred in your contact information such as your home address or communication preferences. Please include any changes to your students education needs (addition of an IEP, etc)
PROJECT COMPOSITION: Please have a book ready for me at Recital. ($16)
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Yes
No
I would like to register a new student (sibling)
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Sibling space is limited. Please let me know if you would like to enroll a new sibling in the Fall of 2024 OR Fall 2025. I will reach out to you regarding availability once returning student registration is complete.
Yes, I would like to enroll a new sibling Fall 2024
Yes, I would like to enroll a new sibling Fall 2025
No, I will not be enrolling any new siblings at this time.
FOR NEW STUDENT SIBLINGS OR VOICE REQUESTS-- would you like to begin with a 6-week summer trial ($235 plus a $35 supply fee)
Yes
No
I would like to enroll in the SUMMER FLEX PROGRAM (4 individual lessons/$125/open calendar)
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Individual 30 minute lessons available June-July on Wed, Thurs or Fri mornings. The lesson will be focused on learning a single "favorite" song. Your schedule for the 4 lessons is of your choosing. You may purchase a second lesson pack if you use up all of the first.
Yes
Not at this time
I would like to enroll in the JULY GROUP THEORY classes. (3 Group Lessons/$75/semi-flex calendar)
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This is a pack of three 90-minute group lessons offered on Wednesday mornings that focus on music foundations. Choose from three of the five Wednesdays available for summer flexibility. Perfect for improving note reading, rhythm and composition skills while having fun with friends! This class will be shortened to 60-minutes if there are less than 4 students enrolled.
Yes
Not at this time
I would like to enroll in the AUGUST BACK-TO-SCHOOL CAMP on 8/5 to 8/9. (5 days/2 Hour Sessions/$195)
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Prepare your student for a strong start to the Piano Season with a 2-Hour Back-to-School Camp. This activity-packed, interactive daily camp will be designed to refresh student skills and get them excited for the upcoming year. Mornings (10am-12pm) and Afternoons (1pm-3pm) will be available.
Yes
Not at this time
My student would like to participate in the RCM Testing Program (Available by Teacher Recommendation Only)
By selecting yes, you are acknowledging that additional expenses will be incurred for books and testing fees.
Yes
Not at this time.
ADVANCED STUDY PREP
My Student is considering post-high school music study.
Yes
No
Unknown
MY STUDENT WILL BE STARTING:
Certain school years are pivotal in a child's Music Education due to changes in environment or academic rigor. Please let me know by checking below if your child is approaching a "pivotal" year.
3rd Grade
5th Grade
Middle School (6th)
High School (9th)
ACADEMIC RIGOR
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Please indicate where your student will be in their academic rigor in the upcoming year.
Elementary School
Academic Studies
Honor Studies
AP Enrollment
Dual Enrollment
Satellite School (AET/TJ/etc)
PERFORMANCE PARTICIPATION
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Next Season, my child will participate in: (Please check all that apply. Note-- tuition is not adjusted based on performance participation.)
Weekly Lessons Only
Holiday Performance
Musical Performances outside of LEMS (musicals, church, et al)
Spring Festival as a performer
Spring Festival as a Page/Volunteer
End of Year Recital
EXTRA-CURRICULAR ACTIVITIES: Please list your child's anticipated extracurricular activities. This information helps to prepare the expectation/rigor of their music studies.
SCHEDULE PREFERENCE: While I cannot guaratee certain times or days on the schedule until August, please let me know in the space below if you have a schedule preference. Schedule preferences will be considered in the order they are received.
PHOTO PERMISSION
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Little Ears Music Studio makes public posts to Facebook, Instagram and/or Youtube. These posts do not include surnames or locations.
LEMS has permission to include my child's image and/or video in public social media posts. I understand that these posts will not include my child's surname or location.
Please do not post any photos and/or videos of my child.
FOOD PERMISSION: LEMS distributes several treats throughout the year: Lollipops at the end of each lesson, candy in the prize box, and Donuts on Donut Weeks. Please indicate below your preference.
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Please offer my child non-food treats only.
My child may have the after lesson lollipop.
My child may have any candies from the practice box
My child may participate in donut day.
My child would prefer a gluten-free donut.
YOUR FEEDBACK MATTERS TREMENDOUSLY! Please provide any thoughts you may have about the studio and how I might improve upon your student's experience here. HONEST feedback (the good, the bad and the ugly) is strongly encouraged.
Thank you for Registering for LEMS 2024-2025 Season!
Your customized invoice will be in your inbox within 48 hours. This will be due by the close of registration on May 3rd. If you have requested sibling space, I will follow-up with you on Monday, May 6 regarding availability.
Students who have not signed up for a summer session will be provided with an Independent Study Plan for the Summer. Please encourage frequent visits to the piano to preserve the skills they have mastered this season.
Individual Piano Lessons will resume the week after Labor Day. Scheduling for next season will begin in August.
I look forward to seeing you all at our upcoming Recital in Waterford!
Christy