New Student Registration Form

Student's Full Name *
Student's Full Name
Student's Phone Phone (if applicable) *
Student's Phone Phone (if applicable)
Text messages
Student's Birthday *
Student's Birthday
Parent/Guardian's Full Name *
Parent/Guardian's Full Name
Street
City
State
Best Phone Number to reach you at *
Best Phone Number to reach you at
Alternate Phone Number:
Alternate Phone Number:
Preferred Lesson Length *
30min weekly lesson is recommended for children 7 and under; 45min weekly lesson is recommended for children ages 8 through 11; 60min weekly lesson is recommended for children ages 12 and up, as well as adults
Please indicate ALL available days/times
Please list any personal circumstances of which I should be aware (special needs, health problems, allergies, religious beliefs that might impact repertoire choices or performance dates, other extracurricular activities, etc.) Information entered here is confidential.
Preferred Method of Payment *