Wufoo

THE LESSON CENTER - FALL/WINTER BAND COACHING

10-Week Sessions beginning October 4th
$180 (enrolled TLC students) $200 (all others)

Student Name
Parent's Name:

If student is under 18 years of age.
Phone: ### - ### - ####
Email
(new students only)
Instrument (list) or Voice:
Student's Age:
(12 and older)

Knowing the age of our students is helpful in placing them with the best possible instructor.
Level:
Beginner Intermediate Advanced
Which session would you like to attend:
Monday: 7:30-8:30pm Wednesday: 7:00-8:00pm Thursday: 6:30-7:30pm Saturday: 1:00-2:00pm Saturday: 2:30-3:30pm
If you wish to be grouped with specific students, please list them by name here:
Payment:
Please deduct the $180 tuition (current enrolled TLC students) from my account on-file at The Lesson Center. I am new to The Lesson Center, please contact me by phone to complete registration.
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