RoseTree Piano Studio - New Student Application

Registration

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

I am a(n)

Adult Student Information

First name *

Last name *

Email *

Phone *

Birthday (example: mm/dd/yyyy) *

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 *

Phone *

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 *

Birthday (example: mm/dd/yyyy) *

Login Details

Username *

Password *

Verify Password *

Additional Information

Has the student had any previous musical experience?

What schedule needs do you have?

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