SUMMER & FALL ONLINE REGISTRATION Parents Name* First Last Phone*Email* Have you already set up your Wellness account and successfully input your payment information?* Would you prefer face-to-face or online lessons? Are you able to do online lessons (i.e. ZOOM or FACETIME lessons) in the event we need to do so?* Is your family currently taking lessons?* Yes No Be sure to pick times that work for you, face-to-face but you will always have the option to do online instead.Student Name 1 Summer Package Type/Day/Time Fall Weekly Lesson Length/Day/Time Instrument Preferred Teacher Notes (i.e. how flexible is your schedule for summer and fall, what other days are you available and any other info you would like to provide re: your registration): Student Name 2 Summer Package Type/Day/Time Fall Weekly Lesson Length/Day/Time Instrument Preferred Teacher Notes (i.e. how flexible is your schedule for summer and fall, what other days are you available and any other info you would like to provide re: your registration): Student Name 3 Summer Package Type/Day/Time Fall Weekly Lesson Length/Day/Time Instrument Preferred Teacher Notes (i.e. how flexible is your schedule for summer and fall, what other days are you available and any other info you would like to provide re: your registration): Student Name 4 Summer Package Type/Day/Time Fall Weekly Lesson Length/Day/Time Instrument Preferred Teacher Notes (i.e. how flexible is your schedule for summer and fall, what other days are you available and any other info you would like to provide re: your registration): Student Name 5 Summer Package Type/Day/Time Fall Weekly Lesson Length/Day/Time Instrument Preferred Teacher Notes (i.e. how flexible is your schedule for summer and fall, what other days are you available and any other info you would like to provide re: your registration): Any other comments? Δ