Did you or will you read the Lessons Policy?
*
The Lessons Policy (https://www.gilbertgalindo.com/s/Galindo-Musix-Lessons-Policy-2021.pdf) must be read before the Lessons Agreement is signed.
Student Name
*
First Name
Last Name
Student Grade Level or Year
*
Student Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Student Email
*
Student Phone
(###)
###
####
Permission: I give permission to my child to receive music lessons or I am 18 years or above.
*
Parent/Guardian Name
Parent/guardian information is required for minors under 18. Skip parent/guardian section if you are a student who is 18 and over.
First Name
Last Name
Parent/Guardian Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Parent/Guardian Email
Parent/Guardian Phone
(###)
###
####
Lesson Type
*
Choose 1-4 subject(s). You may elect to have 1-4 topics taught within one lesson. If you would like to have more than one lesson type (2 or more lessons with different subjects), fill out another form indicating the lesson type(s).
Lessons Packages
*
Choose 1 package. You will not be charged now. Payment will be due one week in advance of the first lesson via Venmo (@galindomusix), Zelle (galindomusix@gmail.com), or check. Your first lesson will be determined during the initial chat and will renew quarterly, monthly, or weekly - unless otherwise noted - with the exception of the flexible option, which will be given as the student needs. It is advised that in order to receive the most benefit from lessons, the student receive weekly lessons by signing up for the quarterly, monthly, or weekly package.
Schedule
*
Please indicate the dates and times you are available for lessons. In the event that Mr. Galindo’s studio is full, he will inform you and keep your information on file for when there is a spot available.
Briefly write about yourself, your goals, and what you hope to accomplish from lessons.
*