Group Class & Private Lesson Registration

First and Last Name *

First Name

Last Name

Student Name (If student is a minor)

First Name

Last Name

Labs and Classes I want to Register for *

Sewing Lab

Beginner Cello Class

Art Lab

Harp Class

Songwriting/Recording

Violin Class

Sound Production

Songwriting

DJ

Beginner Drum class

Beginner Guitar Class

Beginner Ukulele Class

Beginner Piano Class

Beginner Voice Class

I want to register for a private music lesson and schedule a specific time

I want to create my own unique class with multiple different topics of study (requires minimum of 3 students to launch a new class)

Intro to music course (for beginners)

Phone

(###)

###

####

I am a Heartland student

Yes

No