Elizabeth A. George Violin Studio

Child #1 Name *

First Name

Last Name

Child #2 Name

First Name

Last Name

Child #3 Name

First Name

Last Name

Parent Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

Emergency Contact Name *

First Name

Last Name

Emergency Contact Number *

(###)

###

####

Type of Payment *

Semester

Month

Tuition Policy *

I agree to the tuition policy.

Make-Up Policy *

I agree to the make-up policy.

Sick Policy *

I agree to the sick policy.

Studio Policy *

I agree to the studio policy.

Lesson Format *

Please indicate how you would like to take summer lessons. You are more than welcome to change your preference at any time.

Virtual Only

Hybrid

In-person only (masks required)

Virtual Lesson Preference *

FaceTime

Zoom

Covid-19 Policy *

Please note, covid-19 can affect persons in many different ways. Some people can be asymptomatic, others can be hospitalized and covid-19 can cause serious illness and death. By attending in person lessons, you are increasing your risk of contracting covid-19 and by checking that you have read these polices you are acknowledging that risk.

I agree to the covid-19 policy.