Student #1 Name * First Name Last Name Student #2 Name First Name Last Name Parent Name First Name Last Name Email * Student #1 Birthdate * MM DD YYYY Student #2 Birthdate MM DD YYYY Phone (###) ### #### Full Name of School / District City Zipcode Years of piano study How did you hear about Heidi Lee Kim's piano studio? Piano at home? Please specify if you have a piano, keyboard, etc. Website Link Please share a link to your most updated performance video if available. http:// Thank you! Registration
