Play It Forward Student Registration
Thank you for registering for Adult Lessons at ZUMIX! Once you fill out this form, we will be in touch to introduce you to your new teacher and to collect your payment.
Email address *
To be eligible for Play It Forward lessons you must be over 18. If you are under 18, please check out our youth programs at www.zumix.org Are you over 18 years of age? *
Name (First & Last) *
Your answer
Phone Number *
Your answer
Address (Street, City, State Zip) *
Your answer
Instrument *
Your answer
Please describe your experience playing this instrument (No experience necessary, but this will help our instructors know where to start!) *
Your answer
Who are your musical influences (If you could play/sound like anyone, who would it be?) *
Your answer
What days and times are you available for lessons? *
Your answer
Is there anything else you'd like us to know? *
Your answer
A copy of your responses will be emailed to the address you provided.
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