PIANO CHECK IN

MICHIGAN INTERNATIONAL PREP SCHOOL OF MUSIC

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CHECK IN FOR PIANO CLASS!

Use this online form to check in for your piano class. You must FIRST register with MIPS, after doing so please complete and submit this form. You will receive a confirmation email within 24 hours of submitting your School of Music Registration.

PIANO CHECK IN FORM

* Indicates required field

Student Name *

First

Last

Student Grade *

ASSIGNED MENTOR (IF YOU KNOW) *

Are you new to MIPS this year? *

Yes No

Parent Name *

First

Last

[object Object]

Parent Name *

First

Last

Parent Email *

Student Email *

Mailing Address *

Line 1

Line 2

City

State

Zip Code

Country

Do you have a piano at home? *

Yes No

If you have a piano, what kind? *

Grand Piano Upright Acoustic Piano Full Size Digital Piano Small Size Keyboard

Do you wish to rent a digital piano from MIPS? (limited quantity available) *

Yes No

Parent Email *

Select the best description of student ability *

First time learning piano Have had a few lessons Have had 1-2 years of lessons Have had 3-4 years of lessons Have had 5+ years of lessons

ARE YOU CURRENTLY TAKING PIANO LESSONS? *

YES NO

What course level are you requesting? *

BEGINNING PIANO (GRADES 3-12) INTERMEDIATE PIANO (GRADES 5-12) ADVANCED PIANO (GRADES 9-12)

Questions/Comments *

Submit

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