Music Connection Lesson Registration Form
Welcome to lessons at "The Music Connection School of Music". We are very proud of our store and teaching staff. We have taken great care in selecting our teachers in order to provide you with the best instruction possible. All of our teachers are specialists and chosen for their expertise in a specific teaching area. Resumes are available upon request. Thanks again for choosing Music Connection to be a part of your family's music experience. Please fill out this form completely and I will contact you to answer questions or to register you for a time. If you provide me with a teacher name, start date and time, I can schedule you and send you a confirmation via email.
Student First Name
Your answer
Student: Last Name
Your answer
Parent First Name (if under 18) (First and Last)
Your answer
Parent Last Name (if under 18) (First and Last)
Your answer
Street Address
Your answer
City
Your answer
State
Zip
Your answer
Date of Birth (if under 18) Please include month, day and year.
MM
/
DD
/
YYYY
Primary Phone Number
Your answer
Seconday Phone Number
Your answer
Email Address
Your answer
Please share any information you feel would be helpful in finding you the correct teacher. If you have any other questions, please list them here as well.
Your answer
Instrument Choice
Requests
Before requesting times, teachers, days etc., please refer to http://tinyurl.com/mcopenings for the latest openings. If a time slot does not show here, it is either not available or already filled. Although we can't guarantee that we will honor your requests, we will make every attempt to do so. Openings change daily. If you would like further recommendations on teachers based on student needs, please check the following teacher bios list https://sites.google.com/view/mcteacherbios2 or leave the teacher choice blank and I will contact you
Desired Day
Desired time
Desired start date
Your answer
Desired teacher
Submit
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