ERRORS GO HERE

Private Lessons Registration

Please complete the form below to register for lessons or programs with the Stetson University Community School of Music.

Checks should be made payable to Stetson University. Credit cards are accepted. A 10% discount is available to Stetson University employees and parents registering more than one student.

Student Information

Student First Name

Student Last Name

Student Age (if under 18)

Student Grade

Additional Notes and Special Needs

Parent/Guardian Information

Personal Information

Parent/Guardian First Name

Parent/Guardian Last Name

Home Phone Number

Cell Phone Number

Work Phone Number

Email Address

Mailing Address

Street 1

Street 2

City

State/Province

ZIP/Postal Code

Country

Programs

Musical Instrument

Please select a program to which you would like to register.

Full Term (10 Lessons)

Half Term (6 Lessons)

Full Term (10 Lessons)

Abbreviated Term (6 Lessons)

Are you continuing lessons from Spring or Summer 2020?

Yes

Check the boxes that indicate the following

I am a Stetson University employee.

Stetson University ID Number

I am registering multiple students.

How did you hear about us? (Optional)

Payment Information

Payment Method

Amount: