Lesson Enrollment Form

Please fill out all required fields as correctly as possible.  Knowing this information helps me tailor my teaching to the needs of each student and assists in maintaining effective communication with a student and/or a parent or guardian.  I cannot keep proper records of lesson details such as attendance and payments if this form has not been submitted.  

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The preferred lesson day and time submitted in this form is not final - it just helps me organize around different students' schedules.  A new student's first lesson (or more - at my discretion) will be complimentary to ensure that my style of teaching is a good fit for the student.  If you are enrolling in online lessons, please re-read the "Lesson Details" page.  There is important information about online lessons listed there.  

All communication with students under the age of 18 will be via a parent's email unless I have been given clear, written consent by both the student and one or more of their parents to contact their child's preferred email address. One or both parent(s) will still be carbon-copied in all communication.