Your Name *

First Name

Last Name

Phone

(###)

###

####

Child's name (if applicable)

First Name

Last Name

D.O.B of child (if applicable)

MM

DD

YYYY

Private or Group? *

Private are 30 mins long and Group are 45 mins long. Groups only include keyboard, guitar, and Little Notes.

Private

Group

"I am interested in ______ lessons *

Guitar

Drums

Ukulele

Singing

Bass

Little Notes (5-6 year olds)

Over 65s