Parent Name *

First Name

Last Name

Child Name (1)

First Name

Last Name

DOB *

MM

DD

YYYY

Child Name (2)

If multiple siblings

First Name

Last Name

DOB

MM

DD

YYYY

Lesson Type *

Singing Private

Singing Group (2 Kids)

Singing Group (3-4 Kids)

Guitar Private

Guitar Group (2 Kids)

Guitar Group (3-4 Kids)

Drums Private

Drums Group (2 Kids)

Drums Group (3-4 Kids)

Bass Private

Ukulele Private

Ukulele Group (2 Kids)

Ukulele Group (3-4 Kids)