Register for Audition Prep & Training Student's Name * First Name Last Name Date of Birth * MM DD YYYY Student's Age * Student's Current School * Student's Current Grade * Is your student new to Tessitura Music? Yes No Parent's Name * if student is under 18 First Name Last Name Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Email 1 * Email 2 Student or 2nd Parent Phone 1 * (###) ### #### Phone 2 Student or 2nd Parent (###) ### #### Emergency Contact * First Name Last Name Emergency Contact Phone * (###) ### #### Medical or Health Concerns Please describe any concerns that might hinder participation. Select Lesson or Class * Voice Lessons Audition Techniques Piano Lessons Group Voice Class Session Length For Voice Lessons Only 30 Minutes 45 Minutes 60 Minutes Form of Payment Payment due by First Lesson (Payment Plans Available) Venmo Check Cash How did you hear about us? Reasons for choosing this class: Comments Please list your questions and anything else we need to know. Thank you! We be in touch soon to schedule your evaluation.
