2024 Summer-Term
Current Student Registration

Parent Name

(if applicable)

First Name

Last Name

Student Birthdate

MM

DD

YYYY

Instrument(s) *

Check all instruments that you are registering for. If you are registering for a new instrument, please explain in the following field.

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