Piano / Voice Lessons with Miss Peggy

Student Name

Date of Birth

Student Name

Date of Birth

Instrument

Lesson Date(s)

Cancellation Fee

Please note that once you have booked a lesson with us it means that we have reserved time in our schedule exclusively for you.

We will assume you will be attending your weekly scheduled time unless you let us know you are no longer taking lessons.

To avoid a cancellation fee of the full lesson amount, please provide cancellation notice at least 24 hours prior to your appointment via phone call or email.

You can cancel by email at [email protected] or [email protected]

Call Middletown Art Center Office:

732-706-4100

I have read and understand the cancellation policy above*

Lessons

30 Minute lesson | One Week
Price $35.00
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30 Minute lesson | Four Weeks
Price $140.00
Attend This Session
60 Minute lesson | One Week
Price $70.00
Attend This Session
60 Minute lesson | Four Weeks
Price $280.00
Attend This Session

Parent

Phone Number

Yes, it's okay to send me text messages including order confirmations, updates, event reminders, and event information. Message frequency varies. Message and data rates may apply. Reply HELP for help, STOP to cancel. View our terms of service & privacy policy.

Emergency Contact

Emergency Contact Number

Address

Running Total

$0.00

Coupon Code

Total

$0.00

admin billing

Almost done, where should we send the confirmation?

Name

Phone Number

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