Enrollment Form
GVC Music Studio
Person completing this form
*
Parent
Adult Student
Enrolling 1 or more students this semester?
*
1 Student
2 students or more (Siblings/Family Members)
Student Name
*
First Name
Middle Name
Last Name
Lesson Format
*
Virtual
In-Person at Studio in Dade City, FL
Hybrid
Instrument
*
Please Select
Voice
Piano
Flute
Guitar
Bass Guitar
Drums
Hybrid(2 instruments)
Specify which 2/3 instruments.
Service/Lesson Duration
*
Please Select
Monthly Package (4) 30min. lessons $95
Monthly Package (4) 1hr. lessons $155
30min lesson (1) $30
1 hr. lesson (1) $45
Birth Date
*
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1921
1920
Year
Gender
*
Please Select
Male
Female
N/A
Student Name 2
*
First Name
Middle Name
Last Name
Instrument (Stud.2)
*
Please Select
Voice
Piano
Flute
Guitar
Bass Guitar
Drums
Hybrid(2 instruments)
Specify which 2/3 instruments.
Service/Lesson Duration (Stud. 2)
*
Please Select
Monthly Package (4) 30min. lessons $95
Monthly Package (4) 1hr. lessons $155
30min lesson (1) $30
1 hr. lesson (1) $45
Birth Date (Stud.2)
*
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
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31
Day
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2019
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1935
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1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Gender (Stud.2)
*
Please Select
Male
Female
N/A
Student Name 3
First Name
Middle Name
Last Name
Instrument (Stud.3)
Please Select
Voice
Piano
Flute
Guitar
Bass Guitar
Drums
Hybrid (2 instruments)
Specify which 2/3 instruments.
Service/Lesson Duration (Stud. 3)
Please Select
Monthly Package (4) 30min. lessons $95
Monthly Package (4) 1hr. lessons $155
30min lesson (1) $30
1 hr. lesson (1) $45
Birth Date (Stud.3)
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
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18
19
20
21
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23
24
25
26
27
28
29
30
31
Day
Please select a year
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Gender (Stud.3)
Please Select
Male
Female
N/A
Student Name 4
First Name
Middle Name
Last Name
Instrument (Stud. 4)
Please Select
Voice
Piano
Flute
Guitar
Bass Guitar
Drums
Hybrid(2 instruments)
Specify which 2/3 instruments.
Service/Lesson Duration (Stud. 4)
Please Select
Monthly Package (4) 30min. lessons $95
Monthly Package (4) 1hr. lessons $155
30min lesson (1) $30
1 hr. lesson (1) $45
Birth Date (Stud.4)
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a year
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Gender (Stud.4)
Please Select
Male
Female
N/A
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Student E-mail
example@example.com
Student Phone Number
Parent #1 Full Name
*
First Name
Last Name
Parent #1 E-mail
*
example@example.com
Phone Number (Parent 1)
*
Parent #2 Full Name
First Name
Last Name
Parent #2 E-mail
example@example.com
Phone Number (Parent 2)
Preferred Schedule For Lessons
*
Do not have a specific preference, Can be flexible
Tues. Wed. or Thurs. Early Afternoon (12:00-3:30PM)
Tues. Wed. or Thurs. Afternoon/Evening (3:30-7:00PM)
Saturday Morning (9AM - 1PM)
Preferred Schedule For Drum Lessons
*
Do not have a specific preference, Can be flexible
Tuesday Evenings (6 - 8 PM)
Type in Day&Time
*
Invoices & payments will be processed through the "My Music Staff" platform. Select a secondary payment method as a "back up"
*
Please Select
PayPal or Card
Venmo
Cashapp
Photo Release Waiver
*
I give legal authorization to GVC Music Studio to take pictures/videos of me and/or my child during studio events and activities for promotional and celebratory purposes.
Please do not take pictures/video of me or my child during studio events for any purpose.
Select which experience you/your student(s) would be interested in participating in the future. (Select all that apply)
*
Children's Choir
Youth & Adult Choir
Vocal group lessons
Piano Group Lessons
Band (Piano, Guitar, Bass Guitar, Drum, Vocalists)
Musical Theatre workshops
Theme Specific Workshops
Masterclass by Guest Musician/Vocalist
Summer Music Camp
Community Performances
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