Drop-In Lesson Registration (Initial) Please check which instrument(s) you would like to register for: Piano Guitar Voice Violin Electric Bass Drums Theory CelloCello Other Lesson Length 45 minutes 54.0060 minutes 69.0045 minutes w/ School Director Ms. Tate 73.5060 minutes w/ School Director Ms. Tate 98.00 Lesson date(s) & time(s) requested: * Name * First Last * Last Phone Number * Email * Name and Age of Student * Address (complete with Postal Code and any necessary Parking Instructions) * Number and types of pets if applicable Relevant Medical Information (eg. allergies, medication, etc.) Name of and relationship to student of the person most likely to be home during the lesson * Emergency contact information. Name, Cell Phone, Relationship to student. (Someone other than the person most likely to be home during the lesson) * Musical background (if any) and muscial goals. Please list any current material you are working on or would like to start learning. I would like to use the following method of payment to secure my drop-in lesson(s) * VisaMasterCardE-transfer I understand that: 1) there is a 30.00 annual registration fee that covers the current school year until August 31. 2) once the date(s) above is/are confirmed by email/text, the lesson is transferable but not eligible for a refund/credit/makeup lesson and that I will need to purchase another drop-in lesson if I need to reschedule. 3) payment is required, in full, prior to the lesson(s) date Agree Captcha Additional information or message: Tell us how you heard about us! Google Search Yahoo Search Facebook Ad on car Poster From a friend From one of our teachers OtherOther If you are human, leave this field blank.