Student First Name* Enter student's first name
Student Last Name* Enter student's last name
Email Address* Enter email address
Phone* Enter phone number
What instrument do you play? Enter what instrument: guitar, bass, banjo, mandolin, ukulele
Skill level Enter skill level: Beginner, intermediate, advanced
What is the student's age? Enter age
Parent's name if student is a minor Enter parent's name
Goals Choose all that apply
I want to play guitar casually with friends and family
I aim to be a professional musician
I want to learn how to create my own songs
I want to learn how to play lead guitar
I want to learn how to read music
I want to be able to perform with a group of musicians or start a band
Please provide any additional information you would like us to know Your musical background, goals, etc.
What days are you available for lessons?* Check off all days you are available
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Preferred Lesson Time* What time period fits your schedule best?
Morning 9 am to 12 pm
Afternoon 12 pm to 5 pm
Evening 5 pm to 9 pm
Please Confirm Age and Agreement*
I confirm that I am at least 18 years of age
You have read our lesson policies and agree to our privacy policy.
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