Registration Inquiry Form Student Name * First Name Last Name Student Age * Parent/Guardian Name * First Name Last Name Phone 1 * (###) ### #### Phone 2 (###) ### #### Email * Address Instrument or Class * Preferred Lesson Day(s) Monday Tuesday Wednesday Thursday Friday Saturday Sunday Preferred Lesson Times Lessons offered on the half hour Lesson Start When are you interested in starting? Immediately Beginning of the month Anything else you'd like to share? Comments, questions, teacher requests, etc. I have read and understand the lesson policy for Music on the Hill * Yes Thank you!
