Student Registration Full Name * Email * Phone * Home Address Date of Birth * Instrument of Interest * Piano Guitar Violin Drums Saxophone Other Level of Experience * Beginner Intermediate Advanced Do you have any previous music training or lessons? Yes No If yes, please provide details Are you interested in individual lessons or group classes? Individual Group If group classes, specify the preferred class size How committed are you to practicing and attending lessons? (1 - Not committed,10 - Highly committed) 1 2 3 4 5 6 7 8 9 10 Please briefly describe your musical goals and why you want to enroll in music lessons. Attach any relevant Drop a file here or click to upload Choose File Maximum upload size: 25MB If you are human, leave this field blank. Submit