Jazz BeCuzz Arts Group · 2023-2024 Registration For Adult Student

Consenting Adult Confirmation *

Student Birthdate

(mm/dd/yyyy)

What is the student being instructed on? Please Confirm *

Adult Student Name *

First Name

Last Name

Adult Student Signature *

First Name

Last Name

Adult Student Email *

Verify Email *

Adult Student Phone *

Finding the perfect time

We will try our best to coordinate the best time and teacher for the schedule that works best for you. Please select your first choice for day and time.

Lesson Schedule (Day of the week)

Best DAY

Lesson Schedule (Times)

Best TIME of day

Discount Code

If you are using a special offer code please type below and enter the custom amount you were given in the Registration below. Thank you!

Registration *

$50 - 1 hour lesson

$180 - 1 month of 1 hour classes (and materials)

$360 - 3 months of 1 hour classes (and materials)

$600 - 6 months of 1 hour classes (and materials)

$1,000 - Full year of 1 hour classes (and materials)

$

Notes to share with teacher *

Payment Security

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2023-2024 Registration For Adult Student - Music Education At Jazz BeCuzz