Home Guitar Lessons Registration

Pupil's Contact Details
First Name*
Last Name*
Email*
Phone Number*
Payer's Contact Details
Same as pupil's contact details
- Same as pupil's contact details
First Name*
Last Name*
Email*
Phone Number*
*
Payment Options*
PLEASE NOTE: All EFT payments will require one month's deposit in addition to your subscription. As an incentive debit orders require no deposit.
Pupil's Address
Address*
Street Address Address Line 2 City Province
Pupil's Preferences
Choose your style*
Style of music you wish to learn. The more specific the better. Eg: Rock/blues with some theory.
Beginner*
Pupil's Age*
Acoustic or Electric*
Membership Package*
Preferred Lesson Times*
During*
Alternative Lesson Times*
During*
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Terms and Conditions*
- I agree to the terms and conditions
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Pupil's Contact Details