Fall 2021 Traditional Lesson Registration

Instrument

Teacher

Please choose this drop down to register for the full 15 week semester:

Semester (15 weeks) Lessons

The options below are ONLY for mid-semester registration. Please indicate the number of lessons that was provided by your teacher.

15 Minute Lessons (@ $17/ea)

30 Minute Lessons (@ $33/ea)

45 Minute Lessons (@ $47/ea)

60 Minute Lessons (@ $58/ea)

Registration Fee

Student Information

Student Name

Date of Birth

Address

Phone Number

How did you hear about us?

If the deposit option was chosen, I understand that the card used to register will be charged monthly until the balance is paid in full.

**If you chose the deposit payment, your card will automatically be charged that amount monthly through December 2021.

Name

Credit Card

Address

Phone Number