2024 Summer Lessons
New 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

Drums

Bass

Songwriting

Which Lesson Format Are You Registering For?

In-Home

Online

Which Package Are You Registering For? *

9 Lessons

6 Lessons

Flex Package (Four 45-minute Lessons)

Which Lesson Duration Are You Registering For?

60 Minutes

30 Minutes

Flex (45 Minutes)

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 Summer Period, I will be charged a $10 registration fee for each of my 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.