Lesson Registration Form

Lesson Registration Form

Lesson rate is $135 per month.

Please note that there are 4 lessons each month. Occasionally there are 5 weeks in a month in which case there is an additional charge for the extra lesson.

If you don't want to fill out this form online, you can fill out a paper form during your first lesson. We accept Visa, MasterCard, Debit and Cash as forms of payment.

Student Name (required)

Parent Name (if applicable)

Address

Postal Code

Home or Mobile Phone Number

Work Phone Number (if applicable)

Student Age

Instrument you wish to learn (if you don't have one, we sell student instruments)

Experience Level:BeginnerIntermediateAdvanced

Teacher's Name

Semester One:SeptemberOctoberNovemberDecember

Semester Two:JanuaryFebruaryMarchAprilMayJune

Lesson Start Date

Lesson Start Time

Your Email (required)

Any Questions or Concerns?

Terms and Conditions:
Tuition fees are payable in advance. Students are charged for missed lessons. If you wish to discontinue lessons before the end of the semester one or two, we require 4 weeks notice in writing to be presented to the office. There are no refunds.