Please complete the form below to submit registration for private lessons.

Student Name (First/Last) *

Date of Birth *

Phone Number *

E-mail contact *

Street Address

Mailing Address *

Parent/Guardian (Name/Relationship to student/Phone Number (type: work/cell)/E-mail contact) *

Additional Parent/Guardian (Name/Relationship to student/Phone Number (type: work/cell)/E-mail contact) *

Instrument(s) Requested *

• voice
• piano
• ukulele
• guitar
• violin
• recorder
• dramatic speech arts
• ear training and/or music theory

Lesson Format *

• In-person
• Online

Lesson Booking *

• I understand that the Studio will contact me to arrange summer lessons and that payment for lessons is due within one week of booking.

Studio Policies *

• I understand that all students are required to submit a signed copy of the Studio Policies before the first lesson.

Submit