Enroll For Lessons at European School of Music

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Please Note:

This form is for scheduling and paying for a 30 minute trial lesson.

If you are ready to fully enroll in monthly lessons with ESM, (Group ukulele or private) see below enrollment links, otherwise for trial lesson, complete form below and pay trial lesson fee.

PRIVATE LESSONS ENROLLMENT - For 30 and 40 minute monthly lessons

GROUP UKULEE LESSONS ENROLLMENT - 10 lessons total

Thank you,

European School of Music

404-255-8382
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This Enrollment is For One $40 Trial Lesson (30 Minutes)* This field is required.
I understand, No obligation, I will not be charged full Lesson Enrollment Fee unless I choose to upgrade.
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Today's Date* This field is required.Confirm Today's Date
DATE
Month
Day
Year
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Student First and Last Name* This field is required.
STUDENT'S FULL NAME
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Student Age and School Info* This field is required.Please complete all fields
STUDENT AGE
ACEDEMIC SCHOOL
STUDENT GRADE
Select one
Select one
MALE
FEMALE
MALE OR FEMALE
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Parent's Contact InformationProvide us with the numbers parents can be easily reached at
MOTHER'S EMAIL ADDRESS
FATHER'S EMAIL ADDRESS
M)OTHER'S PHONE NUMBER
FATHER'S PHONE NUMBER
MOTHER'S FULL NAME
FATHER'S FULL NAME
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Parent's Occupation & Employment
MOTHER"S OCCUPATION / EMPLOYMENT
MOTHER"S OCCUPATION / EMPLOYMENT
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Your Mailing Address* This field is required.
HOME ADDRESS
CITY
STATE
ZIP CODE
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Musical Instruments You Play
Piano
Please Select
Piano
Violin
Voice
Accordion
Guitar
Drums
Music Appreciation (4-5 Yrs. old)
Chess
SELECT INSTRUMENT TYPE
DO YOU OWN AN INSTRUMENT?
IIF OTHER INSTRUMENT, WHAT KIND?
HAVE YOU HAD PREVIOUS LESSONS?
Choose one
Choose one
YES
NO
NOT SURE
IS YOUR INSTRUMENT READY TO USE?
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PLEASE READ: Regarding Lesson Scheduling

Scheduling lessons for busy students and parents is alwasy difficult. It will help us to better cooridnate our schedules with yours, if you take a moment and check all the days and times student is available for lessons. For those days, please indicate the earliest and latest times the student will be available to begin his/her lesson and we will make every effort to schedule a STARTING time that falls within paramters

Thank you. We appreciate your help

ESM
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I Agree To Terms & Conditions of School* This field is required.School Terms and Conditions are found at footer of page
YESNO
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How Did You Hear of ESM?
Please tell us if an ad, search, referral
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Please Enter Your Signature* This field is required.
Clear
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PLEASE READ:

If you haven't received an email auto reply from ESM regarding your submission within 15 minutes, please make sure you check, SPAM AND JUNK FOLDERS in Gmail. If found there, right click the email and choose, "NOT SPAM". This will allow all our emails to get through to you.

Thank you,

European School of Music
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Pay for Your Trial Lesson Enrollment* This field is required.TRIAL SPECIAL IS for ONE 30 Minute Lesson. CLICK Next to continue to Paypal for payment.
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ORDER SPECIAL
Total costUSD
30 Minute Trial Music LessonSpecial $40 Trial Lesson with no future billing
$40.00Edit
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Total cost $0.00
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Upon form submission, you will be redirected to Paypal to complete your enrollment payment* This field is required.Please verify that you are human
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