— select an instrument —ViolinViolaCelloBassPianoGuitar
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Instrument
Is the student under the age of 18?
Yes
If yes, please fill in the information below
Student Name
Student Address
Student Birthday (MM/DD/YYYY)
Student Phone Number
Student Email
Please select 3 possible times you are available for lessons
First Lesson Availability -- please select availability -- 1PM - 3PM 3PM - 5PM 5PM - 7PM 1PM - 3PM 3PM - 5PM 5PM - 7PM 1PM - 3PM 3PM - 5PM 5PM - 7PM 9AM - 10AM 11AM - 1PM 9AM - 10AM 10AM-11AM 11AM - 12PM 1PM - 3PM 3PM - 5PM 5PM - 7PM 1PM - 3PM 3PM - 5PM 5PM - 7PM 1PM - 3PM 3PM - 5PM 5PM - 7PM 9AM - 10AM 11AM - 1PM 1PM - 3PM 3PM - 5PM 5PM - 7PM 1PM - 3PM 3PM - 5PM 5PM - 7PM 1PM - 3PM 3PM - 5PM 5PM - 7PM 1PM - 3PM 3PM - 5PM 5PM - 7PM 1PM - 3PM 3PM - 5PM 5PM - 7PM 1PM - 3PM 3PM - 5PM 5PM - 7PM 1PM - 3PM 3PM - 5PM 5PM - 7PM 9AM - 10AM 10AM - 11AM 11AM - 12PM 7PM - 9PM 7PM - 9PM 7PM - 9PM 7PM - 9PM 7PM - 9PM 7PM - 9PM 1PM - 3PM 7PM - 9PM 7PM - 9PM 7PM - 9PM 1PM - 3PM 7PM - 9PM 7PM - 9PM 1PM - 3PM 7PM - 9PM 7PM - 9PM 9am - 12pm
Second Lesson Availability
-- please select availability -- No other time available 1PM - 3PM 3PM - 5PM 5PM - 7PM 1PM - 3PM 3PM - 5PM 5PM - 7PM 1PM - 3PM 3PM - 5PM 5PM - 7PM 9AM - 10AM 11AM - 1PM 9AM - 10AM 10AM-11AM 11AM - 12PM 1PM - 3PM 3PM - 5PM 5PM - 7PM 1PM - 3PM 3PM - 5PM 5PM - 7PM 1PM - 3PM 3PM - 5PM 5PM - 7PM 9AM - 10AM 11AM - 1PM 1PM - 3PM 3PM - 5PM 5PM - 7PM 1PM - 3PM 3PM - 5PM 5PM - 7PM 1PM - 3PM 3PM - 5PM 5PM - 7PM 1PM - 3PM 3PM - 5PM 5PM - 7PM 1PM - 3PM 3PM - 5PM 5PM - 7PM 1PM - 3PM 3PM - 5PM 5PM - 7PM 1PM - 3PM 3PM - 5PM 5PM - 7PM 9AM - 10AM 10AM - 11AM 11AM - 12PM 7PM - 9PM 7PM - 9PM 7PM - 9PM 7PM - 9PM 7PM - 9PM 7PM - 9PM 1PM - 3PM 7PM - 9PM 7PM - 9PM 7PM - 9PM 1PM - 3PM 7PM - 9PM 7PM - 9PM 1PM - 3PM 7PM - 9PM 7PM - 9PM 9am - 12pm
Third lesson availability
Notes/Other Concerns/Conflicts With Listed Times
Would you prefer
RECURRING BILLING (Credit card is automatically charged by semester or by month – you can cancel any time)
or
MANUAL BILLING (You pay manually on this site every month or every semester)
— select a billing option —Recurring BillingManual Billing