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Request Information for Music Lessons
Interested in learning how to play? Fill out the form below and we'll get back to you ASAP! For availability, please see our "Meet Our Instructors" page below!
First and Last Name (Responsible for Payments)*
Student's First and Last Name*
Relationship to Student*
Student Birth Date*
Full Address (Street, City, State, ZIP)*
Phone Number*
Email Address*
Instrument Type*
Acoustic Guitar
Clarinet
Electric Bass
Electric Guitar
Euphonium
Flute
Drums and Percussion
Piano
Saxophone (Any)
Trombone
Ukulele
Violin
Vocal
Preferred Lesson Day*
No Preference
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Preferred Lesson Time*
No Preference
11:00pm-11:30pm
11:30pm-12:00pm
12:00pm-12:30pm
12:30pm-1:00pm
1:00pm-1:30pm
1:30pm-2:00pm
2:00pm-2:30pm
2:30pm-3:00pm
3:00pm-3:30pm
3:30pm-4:00pm
4:00pm-4:30pm
4:30pm-5:00pm
5:00pm-5:30pm
5:30pm-6:00pm
6:00pm-6:30pm
6:30pm-7:00pm
Preferred Teacher*
No Preference
Bob Carver
Caiden O'Connor
Cyndi Chancellor
Edward Blue
Ramana Vieira
Rick Lowe
Ron Park
Todd Wood
Will McPhee
Woodie Douglas
Has the student taken lessons with us before?*
Unsure
Yes
No
Does the student already own/have access to their preferred instrument?*
Unsure
Yes
No
Notes
Repeat Email Address