My name is *

First Name

Last Name

My parent or guardian's name is (if applicable)

First Name

Last Name

My birthdate is *

MM

DD

YYYY

Prior Lessons? *

Yes

No

I am considering

Individual Private Lessons

Small Group Lessons

Ensemble Participation (such as Choir or Chamber Music)

Accelerated & advanced options I may be interested in

Twice-weekly lessons

Double-hour lessons

Three or more lessons per week

More than one instrument

Coaching for exams, auditions, performances, competitions

Music theory, composition, songwriting, music production

Practice planning & expectations

Prefer little to no practice requirements

Regular light practice routine & schedule

Regular full practice routine & schedule

Not sure yet or would like to discuss

I am interested in music lessons at these locations *

Laguna Niguel (in-studio)

Lake Forest (in-studio)

In-home

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country