Please fill out applicable fields and leave blank where not applicable.
(All info is kept confidential and private)

* First Name:
* Last Name:
* Age:
  Parent 1 Name:
  Parent 2 Name:
* Address:
* Postal Code:
* Home Phone:
  Student Cell:
  Parent 1 Cell:
  Parent 2 Cell:
  Parent 1 Work Phone:
  Parent 2 Work Phone:
* Student Email:
  Parent 1 Email:
  Parent 2 Email:
* Preferred Lesson
Days & Times:
* Other Info:

Please inform us about the types of music the guitarist is interested in, any musical experience and other important information that will help us place and teach the musician.

Band Program - If you’re enrolling for the band program please indicate that, what instrument you play (and if you sing or want to try singing) musical styles you like and your level of experience.