Trial Registration Kids

This registration is for ages 10-16.

Schedule: Monday/Wednesday, 5:30 PM to 6:30 PM

Parent/Guardian Name *

First

Last

Email *

Phone *

Enter the best phone number we can reach you.

Number of Kids *--- Select Choice ---One (1)Two (2)

Select the number of kids that will participate in the trial lessons.

Name and Age of Child 1 *

Example: Cinta age 10

Name and Age of Child 2 *

Example: Cinta age 10

Trial lesson(s) *--- Select Choice ---One lesson - $10.00Two lessons - $20.00

Select the amount of trial lessons.

Trial lesson(s) for two kids *--- Select Choice ---One lesson - $20.00Two lessons - $40.00

Select the amount of trial lessons.

First lesson *--- Select Choice ---Monday, 5:30 PM to 6:30 PMWednesday, 5:30 PM to 6:30 PM

Select the day of your trial lesson.

Date of first lesson *

Select the date of your first lesson.

Second lesson *--- Select Choice ---Monday, 5:30 PM to 6:30 PMWednesday, 5:30 PM to 6:30 PM

Select the day of your trial lesson.

Date of second lesson *

Select the date of your first lesson.

First Trial Date

Total Amount

$0.00

Stripe Credit Card *

Submit