Register for Individual Voice Lessons Student's Name * First Name Last Name Date of Birth * MM DD YYYY School * Grade * Parent's Name * if student is under 18 First Name Last Name Email 1 * Email 2 Student or 2nd Parent Phone 1 * (###) ### #### Phone 2 Student or 2nd Parent (###) ### #### Select Lesson * Voice Lesson - 30 Minutes Voice Lesson - 45 Minutes Voice Lesson - 60 Minutes Form of Payment Payment due by First Lesson (Payment Plans Available) Venmo Check Cash Medical or Health Concerns Please describe any concerns that might hinder participation. Emergency Contact * First Name Last Name Emergency Contact Phone * (###) ### #### How did you hear about us? Comments Please list your questions and anything else we need to know. Thank you! We be in touch within 24-48 hours to schedule your evaluation.
