Student's Name
*
First Name
Last Name
Student's Gender
*
Female
Male
Non-Binary
Student's Date of Birth
*
MM
DD
YYYY
Parent or Contact Name
*
If this enrollment is for an adult student, please just say "Adult Student".
First Name
Last Name
Credit Card Number
*
Billing Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Location You Will Be Attending
*
Instrument/Program
*
Please select only one instrument/program UNLESS you are enrolling for more than one type of lesson.
Lesson Day & Time You Discussed
*
Preferred Weekly Lesson Length
*
We typically recommend 45-minute lessons for most students. If the student is younger than 6 years old, 30-minute lessons are recommended. If the student is a teenager or adult or looking to advance quickly, 60-minute lessons are also a good choice.
What is the student's musical background and experience?
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What are the student's (or parent's) goals for lessons?
*
Will you have an instrument by the time of the first lesson?
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N/A for voice lessons or the early childhood program for ages 3-6.
How did you hear about us?
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Internet Search
Referral
Drove By/Saw Your Sign
Facebook
Yelp
Former Student
Family Add-On
Instrument Add-On
Lesson Extension
I acknowledge and understand that in order to withdraw from lessons and stop payments, I must submit an official withdrawal form by the 15th day of the prior month in which I would like to stop payments.
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