Student Name*
Address*
City *
Email *
Phone *
Age of Student (if under 18)
Parent Name (if student is under 18)
What best describes your level of guitar playing? Absolute BeginnerI know some basicsI already play but want to get betterI am amazing but wish to be even more amazing
Guitar(s) currently owned NoneElectricAcousticBassClassical
If you don't have an instrument, would you like help selecting one? YesNo
Do you read music? YesNo
Check the type of music you wish to study? BluesClassical RockModern RockMetalCountryFolkClassicalJazzPraise & Worship
List the days and times you are available to take lessons: Monday: AfternoonEvening Tuesday: AfternoonEvening Wednesday: AfternoonEvening Thursday: AfternoonEvening Friday: Afternoon Saturday: Afternoon
Special Requests (i.e., Time, Teacher, Questions, Etc.)