Korusleine Music Academy

Registration

Welcome to our music studio. Please complete the following form in full. You will receive a communication email, text or call from one of our team members to finish your registration and start the first lesson.

Are you an adult student or the parent of a student?

I am a(n)

Adult Student Information

First name *

Last name *

Email *

Website URL *

Phone *

Alternate Phone *

Birthday (example: mm/dd/yyyy) *

School *

Street *

City *

State/Province *

Zip/Postal Code *

Country *

Login Details

Username *

Password *

Verify Password *

*You will not be able to login until your teacher has activated your account.

Parent Information

First name *

Last name *

Email *

Website URL *

Phone *

Alternate Phone *

Street *

City *

State/Province *

Zip/Postal Code *

Country *

Login Details

Username *

Password *

Verify Password *

*You will not be able to login until your teacher has activated your account.

Student Information

First name *

Last name *

Phone *

Birthday (example: mm/dd/yyyy) *

School *

Additional Information

Has your child had any formal/private music lessons before? If so, is there any specific reason why they left the previous teacher?

What instruments are you or your child interested in learning? (Piano, Voice, Guitar, Ukulele, Percussion) Is there any specific goal that you want your child to achieve in learning music?

What are your or your child's hobbies/interests?

Please give us at least 3 options on days and times that you prefer for the lesson. Please choose mode of instruction: In-Studio, Individual, Group

By checking the box and clicking 'Register" you agree to our studio policy.