Free Virtual Lesson Sign Up
This registration form is in no manner an agreement or contract for a long term commitment to music instruction. By registering for the 1 free virtual lesson trial, you are agreeing to participate in a free 30 minute lesson via virtual platforms such as Skype or Hangouts and to receive updates and offers related to music services provided by ANG Music Services. You can request to unsubscribe from receiving emails at any time.
You may contact Alissa Gittens via email at
info@angmusicservice.com
or by phone at 240-583-0961 for all inquiries.
* Required
Student Name (First & Last)
*
Your answer
Student Age
*
Your answer
Prospective Student Email
Your answer
Parent/Guardian Name First & Last Name (If student is 17 years old or under)
Your answer
Parent/Guardian Email
*
Your answer
Mailing Zip Code
Your answer
Home Number
Your answer
Mobile Number
*
Your answer
School Name
*
Your answer
Student Grade
*
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
College/University
Not Applicable
Other
School Music Teacher Name
*
Your answer
Music Teacher Email
Your answer
Please list any other instruments previously learned.
*
Your answer
What type of service are you requesting?
*
Flute Lesson (any skill level)
Beginner Piano Lessons
What is your preferred platform for lessons/tutoring?
*
Virtual: Skype
Virtual: Google Hangout (does not require a Gmail account)
Virtual: FaceTime
Virtual: WhatsApp
Required
Username or number for Google Hangout, FaceTime, Skype, and/or WhatsApp
*
Your answer
Lesson duration.
*
30 min.
Pick a preferred lesson day and start time (Eastern Standard Time). Lesson time subject to adjustments based on schedule availability.
*
Tuesday 5:30pm
Tuesday 6:30pm
Tuesday 7pm
Tuesday 7:30pm
Wednesday 3:30pm
Wednesday 7pm
Thursday 3:30pm
Thursday 4pm
Thursday 4:30pm
Friday 3:30 pm
Friday 4pm
Friday 4:30 pm
Saturday 10:30am
Saturday 11am
Saturday 11:30am
Saturday 12pm
Saturday 12:30pm
Saturday 1:00pm
Saturday 1:30pm
I prefer an alternate time not listed above. (Sunday and Monday lesson times n/a)
Required
What date would you like to schedule the trial lesson. (Please provide at least 48 hours notice from today's date.)
*
MM
/
DD
/
YYYY
How did you learn about the free virtual lesson offer?
*
Friend
Family member
School
Facebook
Instagram
YouTube
Other:
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