School Year Sign Up Form

Name *

First Name Last Name

Email *

example@example.com

Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Phone Number *

Area Code Phone Number

Please input how many half hour lessons you are scheduling per week, Maximum of 4 *

Will you be taking online or in person lessons?

Online In person in Weston Open to either online or in person

Please select ALL times slots that you will be available for each day of the week *

3:00 - 4:30

4:30 - 7:00

7:00 - 9:00

Monday

Wednesday

Friday

Please select ALL times slots that you will be available for each day of the week *

3:00 - 4:30

4:30 - 7:00

7:00 - 9:00

Thursday

Please select ALL times slots that you will be available for each day of the week *

3:00 - 4:30

4:30 - 7:00

7:00 - 9:00

Tuesday

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2020/2021 School Year Sign Up