Private Spring Session A

Private Spring Session A

February 17th- May 24th (13 weeks)
No lessons the week of spring break (March 17-22)

**A $30 enrollment fee is required for new students. You can pay this through paypal or by check.**
Type a question*

30 minute private lessons: $99/lesson (total $1,287)One hour private lessons: $198/lesson ($2,574)
Please select the days you are available:*

MondayTuesdayWednesdayThursdayFriday
Please select the earliest time you can make it to the barn*

2:303:304:305:306:30
Student Information
Student's Name*

First NameLast Name
Birth Date*

MonthDayYear
Grade
Gender

MaleFemale
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian Information
Name*

First NameLast Name
Cell Number*
E-mail*
example@example.com
Emergency Information
Emergency Contact's Name*

First NameLast Name
Relationship*
Phone Number*
Alt. Phone Number
Does the student have any allergies, chronic illness, or medical conditions? If yes, please describe.
Is the student prescribed an inhaler? If yes, please explain any instructions.
New Student Enrollment Fee*
prevnext( X )
Pay with PayPal
$30.00

Pay with checkAdd $30 to your session total
$ Free

Total

$0.00
Should be Empty: