PLEASE COMPLETE THE FORM BELOW, AND YOU WILL RECEIVE A WELCOME EMAIL WITH ALL THE INFO YOU’LL NEED. IF YOU HAVE MORE THAN ONE CHILD THAT YOU WOULD LIKE TO ENROL, PLEASE EMAIL OUR admin AT BTN.JAMIE@GMAIL.COM Parents/Caregiver/Customer Name * First Name Last Name Phone Number * (###) ### #### Email * Message Name of Student * What is the date of birth of the student you are signing up * MM DD YYYY What is your age range? Note that if your child is under 7, they are only eligible for one-on-lessons. * Under 7 7-9 9-12 13-15 15-18 18+ Instrument * Drums Guitar Bass Keys Vocals Banjo Song Writing Current Skill Level? * Beginner Intermediate Pro Not sure Please select preferred lesson type * Group Lessons One On One Lessons Preferred day for lessons? Please note we do not offer lessons on Saturday or Sundays. * Monday Tuesday Wednesday Thursday Friday Please advise of any medical conditions or special requests * Please accept our Terms & Conditions. By ticking the box below, you are accepting our Terms & Conditions. To read our full Terms & Conditions please visit: https://www.btnma.com/termsandconditions * Accept Thank you!
