One moment please...
2019 - 2020 Registration For Student - Music Education At Jazz BeCuzz
Consenting Adult Confirmation
I am registering a student Under 18
I am registering myself, I am over 18 years of age
Student Name (if under 18)
What is the student being instructed on? Please Confirm
Brass (Trumpet, Trombone, etc)
Woodwind (Sax, Flute, etc)
Adult Student (or Parent) Name
Adult Student (or Parent) Email
Adult Student (or Parent) Phone
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!
1 month of classes (and materials)
3 months of classes (and materials)
6 months of classes (and materials)
Full 2019-2020 term of classes (and materials)
Share a kind note to your student we can share at the end of the lesson term!
Your payment information is safe. This form is powered by Little Green Light and Paypal. Thank you!
Add 3% to my total amount to help cover the payment processing fees