Private Lessons

Student Information

Name*

First Last

Age*

Instrument*

Lesson Format:

In-Person lessons on site at Taylor's
Virtual lessons

*Please note: any changes to your lesson format must be sent to lessons@taylorsmusic.com*

Instructor Preference

Preferred Day/Time

Please describe the student's level of experience and stylistic preferences, as well as any learning accommodations they may need. This will help us match you with an instructor.

How did you hear about Taylor's Music Lessons Program?*

If applicable, who referred you to Taylor's Music Lessons Program?

Customer/Payer Information

Name*

First Last

Relationship to Student:*

Parent/Guardian
Self

Primary Phone Number*

Secondary Phone Number

Email*

Enter Email Confirm Email

Billing Address*

Street Address City State ZIP Code

Credit Card*

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

Registration Fee*

Price: $25.00

Coupon

Please click "Apply" before submitting your registration form so the total below changes to 0.

Total

$0.00

CC

Video/Photo Release*

Yes, I give permission.
No, I do not give permission.

I give Taylor's Music Store & Studios permission to take photos and/or videos during lessons/classes, whether through virtual teaching platforms or in person, of the student named above for use on the Taylor's website, social media pages, advertisements and/or other promotional materials.

Private Lessons Agreement*

I understand that in-person private lessons are held on-site at Taylor’s and that wearing a mask is optional. I may need to purchase books as well as bring my own instrument to lessons except for piano and drum kit lessons. I have read the Taylor's Lessons Agreement below and give Taylor's Music permission to enroll my credit card in monthly autopay once lessons have been scheduled with an instructor. By submitting this form, I consent to the attendance, billing, and scheduling policies outlined therein.

Comments

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Private Lesson Registration Form

Student Information

Customer/Payer Information