Summer Registration Form
Summer Session June 2 - July 25, 2025 (Ages 7 & Up)
Student’s Name
First Name
Last Name
Student’s Age
Phone Number
Please enter a valid phone number.
Parent’s Name (Only for minors)
First Name
Last Name
Email
example@example.com
Desired Lesson(s) $25 for 30 minutes private lesson or $35 for 45 minutes group lesson (4 per group)
Please Select
Private
Group (piano, resonator/ hand bells )
Has student had any previous lessons? If so please explain.
Choice 1 Desired Day and Time (ex: Monday @ 2)
Times: PRIVATE Mon. 2-6; Wed. 2-5; Thurs. 2-6. GROUP Tues. 2 or 4
Choice 2 Desired Day and Time (ex: Monday @ 2)
Times: PRIVATE Mon. 2-6; Wed. 2-5; Thurs. 2-6. GROUP Tues. 2 or 4
Choice 3 Desired Day and Time (ex: Monday @ 2)
Times: PRIVATE Mon. 2-6; Wed. 2-5; Thurs. 2-6. GROUP Tues. 2 or 4
Submit
Should be Empty: