JS Cable Music Studio - Registration

Registration

Fill out this form and we will be in contact to get you scheduled for lessons. We keep all information confidential and never share your information with anyone for any reason!

Are you an adult student or the parent of a student?

I am a(n)

Adult Student Information

First name *

Last name *

Email *

Phone *

Alternate Phone *

Birthday (example: mm/dd/yyyy) *

School *

Street *

City *

State/Province *

Zip/Postal Code *

Country *

Login Details

Username *

Password *

Verify Password *

*You will not be able to login until your teacher has activated your account.

Parent Information

First name *

Last name *

Email *

Phone *

Alternate Phone *

Street *

City *

State/Province *

Zip/Postal Code *

Country *

Login Details

Username *

Password *

Verify Password *

*You will not be able to login until your teacher has activated your account.

Student Information

First name *

Last name *

Email *

Phone *

Birthday (example: mm/dd/yyyy) *

School *

Login Details

Username *

Password *

Verify Password *

Additional Information

For which instrument are you seeking registration?

Each of our faculty members teaches on a Monday or Tuesday, which remains constant throughout the instruction session. Please provide your day/time availability for lessons on these days.

Kindly state your communication preference: text, voice message, or email.

Please inform us on the level of instructions being sought (beginner? advanced?) and specify any specific needs the student may have.

By checking the box and clicking 'Register" you agree to our studio policy.