Student Registration


Registration is now open for the 2018-2019 school year!

Please take a moment to fill out the form below in order to give me a better understanding of how I can best help you in your music learning endeavors.

Music Lesson Registration | Studio Cline
  • Student Type
  • Parent's First Name
  • Parent's Last Name
  • Parent's Email
  • Parent's Mobile Phone
  • Student's First Name
  • Student's Last Name
  • Student's Email
  • Student's Mobile Phone
  • Student's Gender
  • Student's Birthday
  • Student's Address
  • Student's Home Phone
  • Preferred Lesson Type(s)
  • Preferred Lesson Length
  • Instrument / Topic
    select all that the student is interested in learning
  • Previous General Music Experience
  • Previous Experience with Selected Instrument
  • Other Music-Related Accomplishments
  • School Name
  • Grade Level
  • Instrument Availability
    If applicable, will the student have access to an instrument?
  • Lesson Goals
    Please share as much as possible in regards to what the student hopes to learn. Include details about any musical groups they wish to play with and what styles of music they would enjoy playing.
  • Preferred Billing Cycle
    Please select how often you wish to pay. A discount is available for larger advanced payments. Your preference can be changed at any time.
  • Additional Contact's First Name
  • Additional Contact's Last Name
  • Additional Contact's Email
  • Additional Contact's Mobile Phone
  • Notes / Questions
    Please add any other details or questions you might have.