Student Name

First Name

Last Name

Parent/Guardian Name

First Name

Last Name

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Instrument

Lesson Policy

I understand that make up lessons will only be given in case of cancellations due to weather or teacher absence. All other absences may be made up at the end of the semester with a group master class.

I agree

Schedule Preferences

SYLVIA'S SCHEDULE: Wednesdays and Thursdays JAMIE'S SCHEDULE: Fridays KATELYN'S SCHEDULE: Tuesdays and Thursdays BRIAN'S SCHEDULE: Thursdays Please list your first, second and third preferences.

Lesson Package

Teacher