Registration

Already a customer? Click here to login.

Private, one-on-one instruction with teacher upon request. Please let us know: 1. Teacher request 2. Day and time availability 3. Number of sessions registering for *Registration is for the lesson - dates and time to be determined*

Event:

Start Date/Time:

End Date/Time:

Fee per Student:

Room:

* - denotes required fields

Family Information

	First Name:*	Last Name: *
	Type*
	Home Phone:*	Cell #: Work #:
	Email:*	(Emails are kept confidential)

	Address: *
	City: *	State: * Zip: *
	Emergency Contact Info*

Students entered below will be added to your family's account

Questions/Options:


Please select a teacher: (Ms. Rebeckah, Mrs. Maria, Mr. Antoine, Mrs. Krishna, Ms. Jordan, Ms. Payton)*
What days and times work best for you? *
How many lessons do you want to register for?*

Additional Information: