Guitar Lessons with Aston:PO Box 33, East Falmouth, MA 02536; 774-521-8256

Registration Form

Student's Name:

Date of Birth:

Address:

Phone number:

Cell phone number:

Email address:

Is the student a minor? yes       no

If 'yes' please fill in this section:

Parent's name:

Address:

Phone number:

Cell phone number:

Preferred day of the week:     Monday     Tuesday     Wednesday     Thursday

Preferred time of day:     Early afternoon     Late afternoon     Early evening