Private Lesson Registration
The phone number and email you list below will be our default form of communication with your family. Contact our office at any time if you need to make changes.

All information is used to help us match you to the perfect teacher! The more information you provide the better!
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Student Name: *
Preferred Pronouns: *
Primary Email Address: *
Secondary Email Address
Primary Phone Number *
Secondary Phone Number
What is your preferred communication method? *
Required
Address: *
City *
State *
Zip Code *
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