Student Name *
Student Name
Student Date of Birth *
Student Date of Birth
Parent Name (required if age 18 and under)
Parent Name (required if age 18 and under)
Phone Number *
Phone Number
Fall Schedule Availability *
Please select ALL your available days
Lessons can be scheduled Monday through Friday 1pm-9pm or Saturday 9am-5pm. Please indicate earliest to latest time you are available on given day. Please be sure to give us at least 2hour window to allow us to match you/your child with the best instructor with your availability.
Please select your preference *