Lesson Registration Form
Please fill out the following form so that we can connect with you to complete your Registration!

Pricing structure:
Private: $32.50/half hr
Semi-Private: $22.50/student/half hr
Group (3-7 students): $17.50/student/half hr
Larger Group: (8+ students):  By the Course/Term as presented

For more information, please check out the Lessons section at www.guseproductions.com

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Name of Student
Age of Student (if Youth):
How did you hear about us:
Which class(es) are you interested in?
In which setting are you interested?
In which learning stream are you interested?
My ideal lesson day would be:  (check all that apply)
Parent Name
Email Contact Info:
I prefer to be contacted by Phone or Text:
Phone number to use for Phone or Text:
Please list any Questions you may have:
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