BEGINNER REGISTRATION FORM Welcome to Kids Piano Studio Winter Session! Winter Course Date: January 11th – February 29th Rate for the 8-Weeks Program: $250 course fee, $25 book fee KPS Location: 480 Ave C Bayonne, NJ 07002 Student First Name *Student Last Name *Student Age *Student Grade *Parent/Guardian's Name *Phone Number *Email Address *I understand it is the parent / guardians’ responsibility to bring the child to class every week. Photographs and videos are shared weekly on our social media pages, please do let me know if you prefer your child excluded. *YesI understand that the course payment is due in full at the time of registration. *YesCredit / Debit Card *Street Address *Apartment, suite, etcCity *State/Province *ZIP / Postal Code *Consent *Yes, I agree with the privacy policy and terms and conditions.Submit