Private Lessons Private Lesson Registration Form Fill out this form as completely as you can and we will email you to confirm your request and schedule a lesson. Student InformationName* First Last Age*Instrument*Lesson Format:In-Person lessons on site at Taylor'sRemote lessons*Please note: any changes to your lesson format must be sent to lessons@taylorsmusic.com*Instructor PreferencePreferred Day/TimeTake a moment to describe the student's level of experience and stylistic preferences. This will help us match you with an instructor.How did you hear about Taylor's Music Lessons Program?*WebsiteEmailFacebook or InstragramSchool music teacherI'm a Taylor's customerCurrent Taylor's student referred meIf applicable, who referred you to Taylor's Music Lessons Program?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.Customer InformationName* First Last Email* Enter Email Confirm Email Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Primary Phone Number*Secondary Phone NumberCredit Card* American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20222023202420252026202720282029203020312032203320342035203620372038203920402041 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 CCCOVID-19 Policy Notice* I have read the Taylor's COVID-19 Policy effective 2/28/22 and understand that it may change according to guidance from the CDC, at which time I will be notified by Taylor's. By checking this box, my child and any other accompanying individuals, including myself, agree to follow these safety policies when or if we are inside Taylor's Music Store. Lessons Agreement* 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 selecting this box I consent to the Taylor's Lessons Agreement billing and scheduling policies outlined therein. EmailThis field is for validation purposes and should be left unchanged. Δ