Student's Name *

First Name

Last Name

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

Billing Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Location You Will Be Attending *

Novi, MI

Troy, MI

Plymouth-Canton, MI

West Bloomfield, MI

Rochester Hills, MI

Vienna, VA

Annandale, VA

Great Falls, VA

Fairfax, VA

Herndon, VA

Burke, VA

Alexandria, VA

Arlington, VA

Online

Instrument/Program *

Please select only one instrument/program UNLESS you are enrolling for more than one type of lesson.

Animal Adventures in Music

Piano

Voice

Guitar

Ukulele

Bass Guitar

Drums

Violin

Viola

Cello

Clarinet

Flute

Saxophone

Oboe

Trumpet

French Horn

Tuba

Trombone

Euphonium

Music Production

Continuing Weekly Lessons at This Time *

If you decided to enroll in weekly lessons after this trial lesson, would this day and time work for you on a regular basis?

Yes

No

Preferred Lesson Length *

Please enter all that interest you and we will make a recommendation.

Weekly 30-Minute Private Lessons

Weekly 45-Minute Private Lessons

Weekly 60-Minute Private Lessons

Will you have an instrument by the time of this lesson? *

N/A for voice lessons, piano lessons, drum lessons, or the early childhood program for ages 3-6. For all otherse, if you will not have an instrument by the time of this trial lesson, we may or may not have one available for you to borrow. Please text us at 248-773-8364 to check for availability.

Yes

No

Unsure

I acknowledge and understand that I will be receiving a text the day after my trial lesson asking me to confirm whether I plan to continue. If I were to continue, I would be charged a pro-rated fee of the remaining month's lessons and the registration fee immediately. *

Yes, I acknowledge and understand that I must reply to the text to confirm or deny whether I would like to continue weekly lessons.

If I were to continue my enrollment beyond this trial lesson, 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. *

Yes, I acknowledge, understand, and agree to abide by this policy IF I decide to continue my enrollment in weekly lessons beyond this trial lesson.