Please complete the fields below to request a change in your lesson day, time and/or teacher for the upcoming semester. You’re also welcome to call or email the office to explore availability.
Current Information
Your Full Name
Relationship to Student
Primary Email
Best Phone

Student's Full Name
Instrument (piano, guitar, voice, drums or bass)
Current Day Lesson Time Teacher
Reason For Change
Change Request Details

Preferred Teacher (1st choice) (optional)
Preferred Teacher (2nd choice) (optional)
Please provide this student's range of available times
(e.g. 3:30pm - 8:00pm) within the weekdays below.

Mon Tues Wed Thurs Fri

Students are expected to be available for their lessons at the same day and time each week. Please carefully consider your child’s availability before deciding which day and time to commit to for the semester. Upon our receipt of this form you may be contacted to confirm your lesson day, time & teacher prior to processing your enrollment.

Comments


* Your family’s privacy is important to us. All personal information collected through this website (and/or via phone and/or email) is solely for use by At Your Door Music, LLC. We will never disclose or distribute your personal information to any 3rd party. Your contact information will only be used for AYDM to communicate with you to provide your requested services.