Private Lessons Form
Please fill out form - Please note all requests MUST be minimum 48 hours prior
Potential Student
*
First Name
Last Name
Student Email
*
example@example.com
Student Mobile
*
Please enter a valid phone number.
Format: (000) 000-0000.
Parent/Guardian Name
First Name
Last Name
Parent/Guardian Email
example@example.com
Parent/Guardian Mobile
Please enter a valid phone number.
Format: (000) 000-0000.
What instrument do you want jazz improv lessons on? (If a vocalist please type voice)
*
Are there any medical, social or personal factors that may impact the student's ability to practice or learn? Please detail here if any.
Please indicate if you have multiple students
How did you hear about us?
*
Please type THREE SPECIFIC LEARNING OBJECTIVES you would like to accomplish from lessons and please list YOUR END GAME. Meaning, do you want to play and gig? Do you want to perform? Is this just for fun or a hobby? Thanks :)
In Person or Virtual
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In Person
Virtual
Either is fine
30 minute or 60 minute
*
half hour lessons
hour lessons
Either is fine
Please verify that you are human
*
Copy and Paste the link to schedule your FREE consult
https://calendly.com/ericbyrd88keys
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