Summer 2023 Lesson Requests

1

What is the student's name?* This field is required.

First Name

Last Name

2

How old is the student?* This field is required.

3

What is grade is the student in for 2023-2024?* This field is required.Adult Students: please type N/A

4

What school does the student attend?* This field is required.Adult Students: please type N/A

5

What is your name?* This field is required.

First Name

Last Name

6

What is your phone number?* This field is required.

Please enter a valid phone number.

7

Do we have permission to text you at the number you just entered?* This field is required.

YESNO

8

What is your email address?* This field is required.

example@example.com

9

How did you hear about The Studio?

11

What days are the student available for lessons?* This field is required.The Studio is open Tuesday-Thursday during June & July.

Tuesday

Wednesday

Thursday

12

Are there any time conflicts that we should be aware of when scheduling your student?The Studio schedules lessons between 12:00 -6:30 PM during June & July.

13

Do you have any special requests that The Studio should be aware of?Let us know here!