Create Your Profile Let's Get Started Your Name(Required) First Last Email Address(Required) Are you the student?(Required) Yes No Are you over 18?(Required) Yes No Student's Name(Required) First Last We're so excited to work with you! Please ask your parent or guardian fill out this form.Student's Date of Birth(Required)Age helps us match you with the right instructor! Month Day Year Multiple Students? Yes, I have other students that would like to sign up for Bold Music Lessons Phone Number(Required)What type of lessons are you interested in?(Required) In-Home Lessons Live Video Lessons What subscription are you interested in?(Required)Please note that 30 min in-home lessons are available for 2 or more students only.30 min - $44.50 per lesson ($178 per month), billed monthly for the number of lesson days in month45 min - $60.50 per lesson ($242 per month), billed monthly for the number of lesson days in month60 min - $75.50 per lesson ($302 per month), billed monthly for the number of lesson days in monthWhat subscription are you interested in?(Required)In-home lessons available a-la-carte in select areas for higher rate.30 min - $37 per lesson ($148 per month), billed monthly for the number of lesson days in month45 min - $53 per lesson ($212 per month), billed monthly for the number of lesson days in month60 min - $68 per lesson ($272 per month), billed monthly for the number of lesson days in month Your InterestsWhat instrument would you like to play?(Required)Do you already own an instrument for lessons?-YesNoWhat is your skill level?BeginnerIntermediateAdvancedPlease briefly explain your goals for the lessons and list 2-3 of your favorite artists/composers. The DetailsDoes the student have special needs?(Required)NoYesPlease enter 2-3 days and windows of time that work for lessons.(Required)Note: we have very limited availability on weekends.Preferred start date(Required) MM slash DD slash YYYY Home Address(Required)Lessons are in-home, so our instructors need to know where to go! Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code How did you find us?(Required)-NPRReferralGoogleFacebookNextdoorInstagramOther (specify below)Who referred you?Referral code (if applicable)How did you find us? (other)Comments or questions? Step 1 of 3 33%
