Sign up for Lessons!

The following form is the first step to signing up for lessons! If you are definitely interested in lessons, please fill out the form on this page to the best of your ability.

If you have questions or need a little more info before you're ready to sign up, please use the form on my FAQ page to contact me instead! :)

(What should I call the student?)
(What is the student's last name?)
(How should I refer to the student? Check all that apply!)
(How old is the student currently?)
(What should I call the primary contact?) IMPORTANT: This and the following four questions are only required for students who are UNDER 18 years old. If the student is over 18 years old, please double check your answer to the "Student Age" question before continuing!
(What is the primary contact's last name?)
(What is the primary contact's email address? Please enter an address you check regularly! I will send an email to this address upon receipt of the form. Additionally, all official lesson announcements are sent via email.)
(What is the primary contact's phone number?)
(How do you prefer to be contacted for smaller/one-on-one updates? Check all that apply!)
(What is the student's email address? Please enter an address you check regularly! I will send an email to this address upon receipt of the form. Additionally, all official lesson announcements are sent via email.) IMPORTANT: This and the following two questions are only required for students who are 18 years old and older. If the student is under 18 years old, please double check your answer to the "Student Age" question before continuing!
(What is the student's phone number?)
(How do you prefer to be contacted for smaller/one-on-one updates? Check all that apply!)
(What instrument does the student want to take lessons on?)
(How would you rate the student's experience level?)
(What length of lessons is the student interested in?)
(Does the student have a preference for in-person or online lessons? In-person lessons must be within 20 miles of Lemoyne, PA, USA. I highly recommend in-person whenever possible!)
(What is the physical address where in-person lessons would be taking place? Must be within 20 miles of Lemoyne, PA, USA.) IMPORTANT: This and the following two questions should ONLY be answered by students who could potentialy have lessons in-person. If you are ONLY interested in online lessons, please double check your answer to the "In-Person vs Online" question before continuing!
(Does the student have access to the following required materials? Check all that apply!)
(Does the student have access to the following materials? These materials would only be needed in the event that we need to schedule an online lesson. Check all that apply!)
(What is the city where the student lives? This will help with finding a suitable lesson time.) IMPORTANT: This and the following two questions should ONLY be answered by students who are ONLY interested in online lessons. If you might be interested in having lessons in-person, please double check your answer to the "In-Person vs Online" question before continuing!
(What is the state where the student lives? This will help with finding a suitable lesson time.)
(Does the student have access to the following required materials? Check all that apply!)
(Has the student taken any music lessons before? Check all that apply!)
(How did you learn about my lesson program?)
(If you have any questions or concerns, put them here so I can address them when I email you!)

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