11661 Preston Rd.
Suite 136
Dallas, TX 75230
GRAY SCHOOL OF MUSIC Call us!
214-369-7772

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ENROLLMENT FORM

Student's Name
Age Birthdate
School
Grade       Dismissal Time
Parent/Guardian's Name
Address
City and Zip , TX
Home Phone
Work Phone
E-Mail
Type of Lessons
When do you wish to begin lessons? Fall Summer
Desired Length of Private lesson
Do you have siblings that need to be scheduled together? Yes (how many? )
No
If desired, list teacher preference
Special requests or concerns:
Any special needs or learning disabilities that we need to be aware of?

Please submit one enrollment form along with a $45 non-refundable deposit made out to Vicki Gray for each child you wish to enroll in piano lessons for the current term. Deposits can be brought to the studio or mailed to Gray School of Music, 11661 Preston Rd. Suite 136, Dallas, TX 75230. If you have not already been scheduled for your first lesson with a teacher, someone will call you to schedule lessons as soon as this form is received. All form fields are required except the last three, so if a field does not apply to you, please enter "NA."


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FACULTY: Piano - Vicki Gray | Rebecca Chan | Xiao-Bo Chen | Fabiana Claure | Justin Gray | Bethanie Henderson | Dr. Heejung Kang | Lindsay Nieves | Katherine Sargent | Dr. Rinna Saun | Paula Schear | William Villaverde | Kara Nekuza Villines | Margareta Wesolowska | Eri Yoshimura |
Guitar - Caleb H. Best | Vanessa Corder | Dianne Guthrie | Eddie Healy | Brian Marquis | Daniel Rodriguez |
Voice - Ilana Delaney | Miranda Newman | Margarita Roco |
STAFF: Tiffany Roberts |
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GRAY
PIANO STUDIOS