Private Lessons Sign Up

Please provide the following information to complete your registration for percussion lessons.  Thanks!!

* Required fields
Name *
E-mail Address *
Student's Name (first & last) *
Student Phone Number (xxx-xxx-xxxx)
Student's Performing Group *
May I contact student for lesson reminders?
Primary Parent's Name (first & last) *
Primary Parent's Email address *
Primary Parent phone number (xxx-xxx-xxxx) *
Preferred Method Of Contact *

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