Student Intake

Student Name *

First Name

Last Name

Parent/Guardian Name (if applicable)

First Name

Last Name

Phone *

(###)

###

####

Please check which instrument you would like lessons for *

Guitar

Bass

Drums

What level would you consider yourself to be at for the instrument you will be learning? *

Absolute Beginner

Beginner

Intermediate

Advanced

Email Communication *

We will only use your information to contact you regarding your lessons at Blue Guitar Studio.

I consent to receiving email communication from Blue Guitar Studio.

Cancellation Policy *

We require at least 24-hours’ notice for cancellations, otherwise the full amount of the lesson will be charged.

I acknowledge that I have read and understand the cancellation policy.