(860) 920-7988
Manchester, CT 06040
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NCGS Online Registration Form: 2017-2018 School Year
*
Indicates required field
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
*
18/30 Minute Lessons
18/45 Minute Lessons
18/60 Minute Lessons
10/60 Minute Lessons
Other
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.
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