Drop-In Student Registration & Booking

Please check which instrument(s) you would like to register for:

Lesson Length

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) *

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

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