Student Registration

Please complete this form to confirm your registration with Kasia’s Music Studio.

Student Registration Form

Personal Information
Lesson Type

Student Type

Child

Adult

Child Student Information

First Name

Last Name

Phone/Mobile

First Name

Last Name

Phone/Mobile

Date / Time

Adult Student Information

First Name

Last Name

Phone/Mobile

Student Birthday

Lesson Availability

Studio Calendar

The studio will be closed on these days

Labor Day: September 1, 2025
Thanksgiving Break: November 25-28, 2025
Christmas Break: December 24, 2025-January 2, 2026

July-August: Summer Lessons are scheduled individually.
There will be NO LESSONS for two weeks in Summer, one week in July and one week in August.

Recitals

Spring Recital: June 7, 2025, 12:00 pm

Christmas Recital: December 6, 2025, 12:00 pm

Tuition and Payments

• Tuition and enrollment fees are non-refundable and makeup lessons are not scheduled.
• Tuition is set as a flat fee per month and paid trough Zelle or check
• Lessons during Summer are paid for individual lesson.

Group Lessons Tuition (Paid Monthly)

Media Consent

I authorize and grant Kasia Haroldsen to take my photos regarding my experiences with her.

I grant, Kasia Haroldsen to use my photos on Facebook, Instagram, YouTube and other social media platform.

I allow Kasia Haroldsen to edit, alter, copy, or distribute the photos for social media advertising and marketing.

I agree that the photos belong to Kasia Haroldsen.

I understand that I will not receive any monetary compensation.

I have read and agree to the Student Registration Policy and Privacy Policy