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
Student: Last Name
Parent First Name (if under 18) (First and Last)
Parent Last Name (if under 18) (First and Last)
Date of Birth (if under 18) Please include month, day and year.
Primary Phone Number
Seconday Phone Number
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.
Before requesting times, teachers, days etc., please refer to
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
or leave the teacher choice blank and I will contact you
Desired start date
Wendy Frerichs-Low Brass
Vince Hendren-Trumpet/French Horn
Chris Moody-Guitar/Classical Guitar/Suzuki Guitar
Peter O'Gorman-Drum Set/Percussion
Karina Poyerd- Flute/Piccolo
Kelby Thone- Violin/Viola
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