Studio of Stephanie Koogler
Professional Studio Piano Instructor
Chandler, Arizona
480-768-0160

Student's Name:

Birthdate:

Parent / Guardian:

Address:

City:

State:

Day Phone:

Night Phone:

E-Mail Address:

Referred by:

Type of piano in home (brand / model):

Previous Musical Background of Student:

Lesson Time Preferred:

List Days / Times that are impossible for you
to attend:

I have read and agree to comply with the policies of the music studio in which I am enrolling.

Studio policy

Tuition Schedule for 2003