MSS Dance Registration

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The Music Staff Studio

SIGN THE MSS CONTRACT

performing arts academy

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Student's name

First name (parent)

Last name (parent)

Email (parent; used for all communication))

Telephone Number (parent; used for all communication)

Address

School

Grade

Homeroom Teacher (if known)

Birthdate

Month

Day

Year

Family information (include siblings if applicable)

Let us know about your student's performing arts interests.

Student personality

Extroverted

Introverted

Extroverted with introverted tendencies

Introverted with extroverted tendencies

Other

Student handedness

Right-hand dominant

Left-hand dominant

Ambidextrous

Other

Student vision

Contacts

Glasses

Not applicable

Other

Special needs or concerns/learning uniqueness

Student medications

Allergies

Dance/movement experience

Previous studio (if applicable)

Musical experience

Please share any concerns and desires for your child.

I agree to the terms and conditions as set forth in The MSS Contract.

https://www.themusicstaffstudio.com/contract

I consent to the use of photos for marketing and curriculum development.

Signature (type)

Registration Fee- One-time fee per family.

$20

CONTACT INFORMATION

Jamie Bricker, Founder and Director

615.351.1769

jamie@themusicstaffstudio.com

STUDIO ADDRESS

5606 Brookwood Pl.

Nashville, TN 37205

BILLING ADDRESS

204 Olive Branch Road

Nashville, TN 37205

We are a family operated school.

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