Student Name *

First Name

Last Name

Are you registering for yourself or a minor child? *

Self

Minor Student

Parent or Guardian *

If registering for yourself as an adult please enter "adult" and "student" into the form fields, or just type your name again.

First Name

Last Name

Parent or Guardian Two

First Name

Last Name

Physical Address *

If student has two addresses please just list the address for the adult responsible for billing

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Minor Student Phone Number

you do not have to provide this unless you would like your child to receive communication via text/ call.

(###)

###

####

Parent or Adult Student Phone Number *

(###)

###

####

Secondary Number (or 2nd Parent Number)

(###)

###

####

Please select the instrument(s) you are registering for *

Guitar Beginner

Guitar Intermediate

Piano Beginner

Piano Intermediate

Piano Advanced

Voice Beginner

Voice Intermediate

Voice Advanced

Singer Songwriter Guitar Focused

Singer Songwriter Piano Focused

Singer Songwriter Dual Instrument

Beginner Ukulele

Please select the term you are registering for *

Fall 2025

Winter 2025-26

Spring 2026

What are your preferred days to meet? *

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

How often would you like to meet for lessons? *

once weekly

twice monthly

once monthly

Please confirm your submission *

Please type our full name to confirm you agree to and understand everything in your registration agreement: 1. Payment is due prior to or at the start of lessons, and if not received on time your lesson may be cancelled. 2. Missed lessons will either be made up or skipped depending on frequency of cancellation and instructor's availability 4. Frequent cancellations may result in the loss of your reserved day and time

First Name

Last Name

Please enter Today's Date *

MM

DD

YYYY