If you have already had lessons with us in the past, we have your family information saved in a lead file. Please do not fill this form out as it will create a duplicate account for your family. Give us a call at the office and we gladly will activate your family account for you to be able to access your customer portal. Thank you!

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Referral Information
Family Information
Where do you live?
Additional Info
Contact #1
How Can We Contact You?
Portal Access (your email is your login)
(Emails are kept confidential)
Contact #2
How can we contact you?
(Emails are kept confidential)
Student #1
Additional Info
Required Policies
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Questions or Concerns
Payment Information
Credit Card