Book a Trial Private Lesson | Performance Play Music School

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Student Information

Name*

First Last

Your Instrument*

Years of Lessons*

Preferred type of music*

List favorite 3 bands, artists, OR songs*

Age*

Parent's Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Primary Phone*

Secondary Phone

Can we text this number with our current lesson options?

Can we text this number with our current lesson options?

Email

Comments

What length of lesson are you interested in taking?

Preference 1: Day

Time

Preference 2: Day

Time

Preference 3: Day

Time

Name

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