Trial Lesson Sign Up Step 1: Parent or Guardian Information:Name *Street Address *Apartment, suite, etcCity *State/Province *ZIP / Postal Code *Email Address *Phone *Preferred Contact Method *TextEmailPhoneInstrument *PianoVoiceGuitarCello/Double BassClarinet - Currently online lessons onlyFlute - Currently online lessons onlyI'm Interested in... *Semi-Private Lessons (must enroll with a partner)Private Lessons - In HomePrivate Lessons - StudioPrivate Lessons - VirtualMozart Beginnings - StudioMozart Beginnings - In HomeSemi-Private Lesson Partner Name:If Semi-Private Lesson selected, please list your partner's nameDay Preference (pick two or more days)MondayTuesdayWednesdayThursdayFridaySaturdaySundayPlease pick a preferred day for your lesson. Time Preference (pick one or more)9am - 11am11am - 1pm1pm - 2pm2pm - 4pm4pm - 6pm6pm - 8pmPlease pick a preferred time frame for your lessonStep 2: Student InformationStudent Name *Date of Birth *Music ExperienceAdd a Second Student?YesStudent Name *Date of Birth *Music ExperienceAdd a Third Student?YesStudent Name *Date of Birth *Music ExperienceNumber of Students1 Student = $36.252 Students = $72.503 Students = $108.75TotalSubmitPlease do not fill in this field.
