SUMMER LESSON REGISTRATION FORM

EXISTING STUDENT

2019 SUMMER LESSON REGISTRATION

Register for Summer Lessons in just three easy steps!

Each section must be completed before advancing to next step!

Submit by June 10th to reserve your spot.
STEP 1: INFORMATION

This for is for EXISTING students only! If you are a new student, use the following link: https://form.jotform.com/81208663000142
Student Name*

First NameLast Name
Student Age*
Student instrument*
Parent Name*

First NameLast Name
E-mail*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Home Phone Number*
Mobile Phone Number
Elliott Family Quartet Home Page

You may print the completed form and turn it in at your lesson if you prefer. Print option is available in the final step.

Choose your dates in the next step...

STEP 3: CHOOSE LESSON TIMES

Lesson are taught from 12:00pm to 8:00pm. Please choose a first, second, and third choice of lesson time. Every attempt will be made to accomodate your request. However, if there are conflicts, your time may need to be adjusted. Time preference is given to students currently enrolled in the studio. Confirmed schedules, invoices, and further instructions, will be emailed the week following June 10th.
1st Choice*
2nd Choice*
3rd Choice*
Can you take your lesson on either day? (Tuesdays OR Thursdays) This may help to avoid a conflict.*

YESNO
Based on the number of students that sign up, Wednesday lessons may be offered. Are you available on Wednesdays if that day becomes available?*

YESNO
Comments:
Enter the message as it's shown*
Elliott Family Quartet Home Page
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