Registration Form
If you are registering multiple students, please fill out one form per person. If the same student wants to register for more than one instrument, simply fill out the form normally and let us know in the comments box what other instrument(s) you would like to study.
Email address *
Student Last Name *
Your answer
Student First Name *
Your answer
Student Age *
Your answer
Instrument *
Semester *
Lesson Duration
Title
Parent First Name
Leave blank if you are an adult taking lessons
Your answer
Parent Last Name
Leave blank if you are an adult taking lessons
Your answer
Email *
Your answer
Phone *
Your answer
Emergency Contact Name
Your answer
Emergency Contact Phone
Your answer
Interested in free group classes
Guitar class for parents-Basic Musicianship for Students-Ensemble
Payment Preference *
What days of the week work for you? *
Please choose at least 3 days.
Required
Which lesson times would work for you? *
The more options you give us, the easier it will be to schedule your lesson
Required
Are You Military? *
Proof of Military ID required.
How did you hear about us?
If someone referred you please let us know their name:
Your answer
Comments
Your answer
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