Encore Music - Pre-Registration Form
Please complete this Encore inquiry form for private lessons and group class pre-registration. Our administrative staff will follow-up with you shortly. Thank you.
Sign in to Google to save your progress. Learn more
Email *
Student/Child First Name *
Student/Child Last Name *
Student Birthday
 *
MM
/
DD
/
YYYY
Parent/Guardian Name First and Last (if under 18)
Contact Phone Number (parent phone if under 18) *
Contact Email *
Mailing Address *
Center Membership # (if you are a member)
School Name
1) PRIVATE LESSONS PRE-REGISTRATION (for group classes, skip below)
Please answer these questions below to begin pre-registration process for Encore private lessons. We will contact you to schedule a 30min TRIAL lesson with one of our teachers. Select your preferred three choices for lesson time below, and we will try our hardest to accommodate. 

Private Lesson fees are: $52/30min, $70/45min, $85/60min
Instrument of Choice
Instrument Need
Clear selection
Lesson Time Preference (please choose your preferred three slots for availability. Encore admin will follow up to discuss/confirm specific time slot for registration)
10:00a-2:00p
2:00p-6:00p
6:00p-10:00p
Sundays
Mondays
Tuesdays
Wednesdays
Thursdays
Clear selection
Comments/Question about Private Lessons
Select classes below for Inquiry. Encore staff will followup.
SELECT CLASS and we will follow-up
What kind of music do you like? Artists?
What are your learning goals? What are you looking forward to doing?
Any additional questions/comments/suggestions?
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms