Enrolment Form

Please fill out this form to secure your place for the 2023–2024 academic year before July 7th. You can find the policies, fees and calendar information for the coming year here.

Enrolment (1)

Parent Information
Are you new or returning?*
Name*
First Last
Phone*
Email*
Address*
Street Address Address Line 2 ZIP / Postal Code
Lesson location*
Home instrument*

E.g. “Yamaha upright acoustic piano” or “Kawai ES110”
Number of students to enrol*
Student Information
Name*
First Last
Date of Birth*
DD slash MM slash YYYY
Please note any special needs, learning differences or allergies that may be relevant.
What other hobbies do they have (apart from piano)?
Lesson format*
- 60-minute buddy lessons
- 70-minute buddy lessons
- 30-minute solo lessons (adults only)
- 45-minute solo lessons
- 60-minute solo lessons
- Mini Musicians (40-minute group for ages 3-5)
- Piano Lauchpad (60-minute group for beginners)
Lesson format
- 30-minute solo lessons
- 45-minute solo lessons
- 60-minute solo lessons
School class/year (2023-2024)*
- n/a
- Preschool
- Junior infants
- Senior infants
- 1st class
- 2nd class
- 3rd class
- 4th class
- 5th class
- 6th class
- 1st year
- 2nd year
- 3rd year
- 4th year
- 5th year
- 6th year
Student 1 Information
Name*
First Last
Date of Birth*
DD slash MM slash YYYY
Please note any special needs, learning differences or allergies that may be relevant.
What other hobbies do they have (apart from piano)?
Lesson format*
- 60-minute buddy lessons
- 70-minute buddy lessons
- 30-minute solo lessons (adults only)
- 45-minute solo lessons
- 60-minute solo lessons
- Mini Musicians (40-minute group)
- Piano Lauchpad (60-minute group)
Lesson format
- 30-minute solo lessons
- 45-minute solo lessons
- 60-minute solo lessons
School class/year (2023-2024)*
- n/a
- Preschool
- Junior infants
- Senior infants
- 1st class
- 2nd class
- 3rd class
- 4th class
- 5th class
- 6th class
- 1st year
- 2nd year
- 3rd year
- 4th year
- 5th year
- 6th year
Student 2 Information
Name*
First Last
Date of Birth*
DD slash MM slash YYYY
Please note any special needs, learning differences or allergies that may be relevant.
What other hobbies do they have (apart from piano)?
Lesson format*
- 60-minute buddy lessons
- 70-minute buddy lessons
- 30-minute solo lessons (adults only)
- 45-minute solo lessons
- 60-minute solo lessons
- Mini Musicians (40-minute group)
- Piano Lauchpad (60-minute group)
Lesson format
- 30-minute solo lessons
- 45-minute solo lessons
- 60-minute solo lessons
School class/year (2023-2024)*
- n/a
- Preschool
- Junior infants
- Senior infants
- 1st class
- 2nd class
- 3rd class
- 4th class
- 5th class
- 6th class
- 1st year
- 2nd year
- 3rd year
- 4th year
- 5th year
- 6th year
Student 3 Information
Name*
First Last
Date of Birth*
MM slash DD slash YYYY
Please note any special needs, learning differences or allergies that may be relevant.
What other hobbies do they have (apart from piano)?
Lesson format*
- 60-minute buddy lessons
- 70-minute buddy lessons
- Piano Lauchpad (60-minute group)
- 30-minute solo lessons (adults only)
- 45-minute solo lessons
- 60-minute solo lessons
- Mini Musicians (40-minute group)
Lesson format
- 30-minute solo lessons
- 45-minute solo lessons
- 60-minute solo lessons
School class/year (2023-2024)*
- n/a
- Preschool
- Junior infants
- Senior infants
- 1st class
- 2nd class
- 3rd class
- 4th class
- 5th class
- 6th class
- 1st year
- 2nd year
- 3rd year
- 4th year
- 5th year
- 6th year
Availability
Please deselect all the times that will not work for you.
- Monday
  - 2:00 pm
  - 2:30 pm
  - 3:00 pm
  - 3:30 pm
  - 4:00 pm
  - 4:30 pm
  - 5:00 pm
  - 5:30 pm
  - 6:00 pm
  - 6:30 pm
- Tuesday
  - 2:00 pm
  - 2:30 pm
  - 3:00 pm
  - 3:30 pm
  - 4:00 pm
  - 4:30 pm
  - 5:00 pm
  - 5:30 pm
  - 6:00 pm
  - 6:30 pm
- Wednesday
  - 2:00 pm
  - 2:30 pm
  - 3:00 pm
  - 3:30 pm
  - 4:00 pm
  - 4:30 pm
  - 5:00 pm
  - 5:30 pm
  - 6:00 pm
  - 6:30 pm
- Thursday
  - 2:00 pm
  - 2:30 pm
  - 3:00 pm
  - 3:30 pm
  - 4:00 pm
  - 4:30 pm
  - 5:00 pm
  - 5:30 pm
  - 6:00 pm
  - 6:30 pm
- Friday
  - 2:00 pm
  - 2:30 pm
  - 3:00 pm
  - 3:30 pm
  - 4:00 pm
  - 4:30 pm
  - 5:00 pm
  - 5:30 pm
  - 6:00 pm
  - 6:30 pm
- Saturday
  - 11:00 am
  - 11:30 am
  - 12:00 pm
  - 12:30 pm
  - 1:00 pm
  - 1:30 pm
  - 2:00 pm
  - 2:30 pm
  - 3:00 pm
  - 3:30 pm
  - 4:00 pm
  - 4:30 pm
  - 5:00 pm
  - 5:30 pm
Notes about scheduling
If you need to elaborate or go into more specifics about your availability please do so here.
Payments and Policies
Payment Option*
Choose whether you would prefer to pay fees semesterly or monthly.
- Semesterly
- Monthly
Video Consent*
From time to time, I will take videos of students during lessons for instructional/analytical purposes or to create performance opportunities. Videos provide a great way for students to see their own playing clearly, and to share their progress at the piano with family and friends, as well as to help other teachers improve their teaching methods. These videos may be uploaded to YouTube or Vimeo and shared on the Colourful Keys and in the Vibrant Music Teaching membership training site for music teachers. Do you give permission for videos of the student to be taken, and uploaded to YouTube and/or Vimeo using the student’s first name only?
- Yes
- No
- Only if the student’s face is not shown
Photo Consent*
I like to be able to celebrate students’ achievements, and one of the ways I do this is by taking photos occasionally at private lessons, group lessons and student performances. These photos will be shared on the studio website (www.colourfulkeys.ie), the training website (www.vibrantmusicteaching.com), studio social media pages and in studio newsletters only. Do you give permission for photos of the student taken during private lessons, group lessons and studio concerts to be featured on the studio website, training website, studio social media and/or studio newsletter?
- Yes
- No
- Ask me on a case-by-case basis
Policies*
Please tick this box to agree to the Privacy Policies and Studio Policies.
I agree to the studio policies and privacy policy.

Enrolment (1)

Parent Information

Student Information

Student 1 Information

Student 2 Information

Student 3 Information

Availability

Payments and Policies