Lesson/Ensemble Registration - The Music Connection

Please fill out the form below for online registration. Please note no payment is taken online, we will contact you to get enrollment finalized.

Student Name*
First Last
Instrument*
Years of Experience in Music*
Age
Birthday
Month
Day
Year
Parent/Guardian Name*
First Last
Parent/Guardian Phone*
Parent/Guardian Address
Street Address Address Line 2 City State ZIP Code
Parent/Guardian Email*
Lesson Length (20, 30, 45, 60 minutes)*
Ensemble (group) — Choir, Percussion, Brass, Strings, Woodwinds, Piano, Guitar/Ukulele, Cover Band
Lesson Day / Time*
Questions / Comments
Lesson rates per lesson:

20 minutes = $25
30 minutes = $ 35
45 minutes = $ 45
60 minutes = $ 55

Registration fee: $ 15/student

Open Enrollment Year Round

Discounts are available. Please call for details.
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