2024/2025 School Term Lessons
Student Registration

Parent Name

(if applicable)

First Name

Last Name

Phone *

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Student Birthdate

MM

DD

YYYY

Instrument(s) *

Check all instruments that you are registering your student(s) for.

Piano

Guitar

Voice

Bass

Songwriting

Which Package Are You Registering For? *

30-Minute Lessons ONLINE ($100/Month for 30 Lessons)

30-Minute Lessons IN-HOME ($125/Month for 30 Lessons)

60-Minute Lessons ONLINE ($183/Month for 30 Lessons)

60-Minute Lessons IN-HOME ($220/Month for 30 Lessons)

45-Minute Flex Lessons ONLINE ($75/Month for 16 Lessons)

CUSTOMIZED: If you have varying lesson package needs for multiple students, please fill out the section below.

Requested Teacher(s) *

Select all that apply or that your student(s) are interested in working with. You can read more about our teachers at http://www.bravuramusicschool.com/teachers/.

André Rodriguez

Kris Stauffer

Jack Long

Andy Mark

Austin Bowling

no preference

Availability *

Please mark all of the times that your student(s) is available for lessons. If you want to further explain your availability, you may do so in the following field. Mornings are 8:00 am - 12:00 pm. Afternoons are 12:00 pm - 5:00 pm. Evenings are 5:00 pm - 8:00 pm.

Monday mornings

Monday afternoons

Monday evenings

Tuesday mornings

Tuesday afternoons

Tuesday evenings

Wednesday mornings

Wednesday afternoons

Wednesday evenings

Thursday mornings

Thursday afternoons

Thursday evenings

Friday mornings

Friday afternoons

Friday evenings

How did you hear about Bravura?

Check all that apply.

Word of mouth

Bravura's website

Thumbtack

Google

Facebook

Other

Registration Fee Agreement *

I understand that if my student is scheduled for lessons with Bravura Music School in the 2024/2025 School Term, I will be charged a $15 online registration fee or a $25 in-home registration fee for up to two students -we do not charge for additional students. I also understand that I will not be charged this fee if Bravura is unable to accommodate my registration request due to scheduling constraints.