For more information on individual lesson fees and times available please contact me.  This form assist with the registration.

Individual Lesson Registration Form

Name: __________________________________


Phone Number: __________________________

Email Address: __________________________

Instrument: _____________________________

Do you own your own instrument? ____________

Have you ever taken lessons before?__________

If so when? _____________________________

For How Long? ___________________________

Best Days for Lessons: _____________________

Best Times for Lessons: ____________________

What do you want from taking lessons? ________________________________________


You may email this to me or mail it to me .


address: 18 Glendale Dr Tillsonburg ON N4G 1J2