Enrollment Form
Please fill out completely
Student Name *
Student Birthdate *
Student Current Grade *
Parent or Guardian Name *
Address *
Email (for Billing and Assignments) *
Parent Cell *
Additional Parent Cell
Lesson Length per week *
45 Min Lesson includes 15 minutes of Theory/Tech Lab
Please select all days that you are available for lessons *
Please select your preferred lesson time *
Do you have? *
Does your child have any previous music lesson experience? Please explain:
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