10 Lessons

For adults only

Student Name * First Last
Date of Birth * / MM / DD YYYY
Gender *
Home Phone * - (###) - ### ####
Cell Phone - (###) - ### ####
Address *
Street Address

Address Line 2

City

Province

Postal Code

Country
Email *
Instrument Preference
Teacher Preference
10 - lessons (to be used within the school year, non-refundable)
Need to rent an instrument? $25/month -Violin/Viola ($100 deposit) $30/month -Cello ($150 deposit) $35/month - Bass ($150 deposit)
How do you hear about us?