Online Registration Form - Nick Cutroneo Guitar Studio

(860) 920-7988
Manchester, CT 06040

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NCGS Online Registration Form: 2016-2017 School Year

Student Name *

First

Last

Parent/Guardian Name *

First

Last

Email *

Select Term *

Fall Term Spring Term Summer Term

Student Age *

Select Lesson Type *

Classical Guitar Suuzki Guitar Electric Guitar Jazz Guitar Beginning Guitar Electric Bass Guitar Ukelele

Discount Code *

Lesson Package Type *

In Person At Home Remote

Payment Plan *

E-Z Pay Monthly Payments

Lesson Length *

NOTE: Students under the age of 18 are required to participate in either Suzuki Group Classes or the NCGS Guitar Ensemble.

Lesson Date/Time *

Same As Last Term (for returning students only) Change Date/Time

If you are requesting a new lesson time, please provide 3 date/time possibilities below.

Lesson Date/Time Change Option *

Lesson Date/Time Change Option 2 *

Lesson Date/Time Change Option 3 *

*Please Note: These requests are filled on a first come first serve basis. They will be implemented once Open-Registration has started.

Address *

Line 1

Line 2

City

State

Zip Code

Country

Home Phone Number *

Work Phone Number *

Cell Phone Number #1 *

Cell Phone Number #2 *

By digitally signing your name below on this form, I agree to abide by the Nick Cutroneo Guitar Studio policies as outlined on this website. Also by signing this form I am allowing photographs and videos taken of the above registered student at all NCGS lessons and sponsored events/activities for promotional purposes.

Student/Parent/Guardian Digital Signature *

First

Last

After filling out this registration form completely, a confirmation email will be sent to you. In that email, you'll receive an invoice with the amount owed.

Submit

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