^{A FEW IMPORTANT THINGS TO KNOW AS YOU SIGN UP FOR MUSIC LESSONS!}

RESCHEDULING: Reschedule within 2 weeks of a missed lesson with 24 hour prior notice.

ONLINE LESSONS: Live streaming private lessons can be substituted for in person upon request.

REGISTRATION: Look for an email reply in one business day with availabilities based on your selected times.

LESSON PERIOD FEES:  Payment is due before the 1^st lesson of each sequential, 4 week, ‘Lesson Period.’                           - Automatic payment scheduling is recommended and available to our students at no additional charge.

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How would you like to have your lessons? *

• At school (in person)
• Live stream (internet)
• Interchangeable

Payer Information *

First

Last

Street Address *

City / Town *

Select State *AKALARAZCACOCTDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVTVAWAWVWIWY

Zip Code *

Email *

Phone Number *

Student Address Information *

• Student Is Payer [skip next section]
• Student Has A Different Address

Student Name (enter both names for Family & Friends lessons) *

First

Last

Name 2

First

Last

Street Address (if different)

City / Town

Zip Code

Student Email

Student Birthday (enter both birthdays for Family & Friends lessons) *

Student 2 Birthday

Student Experience Level *

• Beginner
• Advanced Beginner
• Intermediate
• Experienced Player

Instrument Menu *BanjoBass GuitarDrumsGuitarMandolinPianoUkuleleViolinVocalsAudio EngineeringMusic TheoryOther

Lesson Type *

• 1/2 Hour Private
• 1 Hour Private
• 1/2 Hour Shared
• 1 Hour Shared
• Add Band
• Band Only

Start Lessons *

• First Opening
• Next Week
• Other

Desired Start Date (Other)

Weekday - First Preference

• Monday
• Tuesday
• Wednesday
• Thursday
• Any open day

Time Range

• 3:00 - 5:00
• 5:30 - 7:30
• Any opening

Weekday - Second Preference

• Monday
• Tuesday
• Wednesday
• Thursday
• Any open day

Time Range

• 3:00 -5:00
• 5:30 - 7:30
• Any opening

Saturday - First Preference

• 11:00-12:30
• 12:30-2:30
• Any opening

Saturday - Second Preference

• 11:00-12:30
• 12:30-2:30
• Any opening

How Did You Come To Know Of SHJA?

• Web Search
• Drive By
• Advertisement
• Face Boook

Referral Name

First

Last

Email

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