Music School Registration Form
If you have questions regarding availability, registration or payment contact Luanne Adams at luanne@goodhopechurch.org
Name Of Student
*
First Name
Last Name
Is The Student 18 Years Old Or More?
*
No, the student is a child 17 or younger
Yes, the student is an adult 18 or older
Student Birthdate
*
-
Month
-
Day
Year
Student Must Be 9 Yrs Or Older To Participate
Which Class Will The Student Be Taking?
*
Beginner To Intermediate Guitar
Beginner To Intermediate Trombone, French Horn, Baritone or Tuba
Beginner To Advanced Trumpet
Level Of Experience With This Instrument
*
Please Select
Beginner
Intermediate
Advanced
Choose Preferred Guitar Class Times
*
Sundays 6pm - 6:30pm
Choose Preferred Horn Class Times (You May Choose More Than One)
*
Sundays 4:30pm - 5pm
Sundays 6pm - 6:30pm
Sundays 6:30pm - 7pm
Name of Parent or Guardian
*
First Name
Last Name
Phone Number of Student (Or For Parent / Guardian If Under 18)
*
Please enter a valid phone number.
Address of Student
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Fall 2022 Music Lesson Tuition
Includes 6 Lessons 30 Minutes Long + Registration Fee
$
135.00
Email To Send Receipt And Registration Information
*
example@example.com
CLICK TO SUBMIT AND REDIRECT TO PAYMENT PAGE
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