Anderson Music Studio Registration Form
We're excited to have you here! Please fill out the information below so we can get started:
Email address *
Zip Code *
**We are based in La Grange Park (60526) and do NOT travel more than 15 miles for lessons**
Your answer
Student Type *
Student First Name *
Your answer
Student Last Name *
Your answer
Parent Name
(If you are registering as an adult student, this is not required)
Your answer
Preferred Phone Number (home/mobile) *
Your answer
Preferred Mode of Communication *
Which day are you available for a lesson? (Select all the apply) *
Currently Ms. Anderson is available for in-home lessons Tuesdays and Wednesdays. Select other to determine special availability.
How long would you like the lesson to be? *
$30 for 30 minutes; $35 for 45 minutes (recommended); $50 for 60 minutes
Where did you hear about us?
Your answer
Policy Confirmation *
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