LESSON REGISTRATION
STUDENT INFORMATION
Student Name:
Age
School (optional)
Instrument (s)
Has the student had
music lesson before? if
so please explain.
Parent/Gaurdian
(optional for 18 and up)
Home phone number:
Cell number:
Work number:
Can  you receive Text messages?
Check box is yes
Email
Street Address
City
State
Zip Code
Date
Comments:
All online Registrations
are not valid until $40
registration fee is paid.

Registration ends:
To complete registration
send
$40 check/m.o. written to
Simple Gifts Corporation -  with a
copy of completed registration form
to

Simple Gifts Corporation
P.O.  Box 40517
North Charleston, SC 29423
or submit online



Pay Registration on-line here

PRIVATE LESSONS PAYMENT
$25/30 minute lesson

Registration
Form
word format
click here
fax
843-760-1042
SPONSOR A
STUDENT'S
LESSONS

YOUR
DONATIONS
ARE
APPRECIATED