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The Music Staff Studio

SIGN THE MSS CONTRACT

performing arts academy

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MSS Private Lesson Registration

Student's name

First name (parent)

Last name (parent)

Address

Phone (contact parent)

Instrument(s)

School

Grade

Homeroom

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.

Email

Registration Fee

One-time fee per family20

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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