Lesson Registration, Single

Gretchen Brumwell

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Lesson Registration

Single Lessons

* Indicates required field

Lesson length: *

30-minute lessons, $27 per lesson 45-minute lessons, $40 per lesson 60-minute lessons, $54 per lesson

Lesson schedule *

Weekly Every other week Other (please explain below)

Please pick the option nearest to your desired schedule. This choice can be adjusted later as needed.

Student Name *

First

Last

Parent/Guardian Name, if student is a minor *

First

Last

Primary Email *

Alternate/Second Email *

If you would like informational emails to go to two people, enter the second email address here.

Phone Number *

Please enter the best phone number for lesson rescheduling

Phone type: *

Student's cell phone Parent's cell phone Other

Alternate Phone Number *

Phone type: *

Student's cell phone Parent's cell phone Other

Communication preference *

Email Text Call

Choose as many as desired.

Address *

Line 1

Line 2

City

State

Zip Code

Country

By submitting this form, I show that I understand lessons are to be pre-paid. I have read and accept the lesson policies and payment policies as explained in the documents below (click to view/download):

Lesson Policies
Payment Policies
2024-25 Lesson Calendar

Lesson & payment policies: *

I agree

Comments, questions, or additional information: *

Submit

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