Prior to submitting your registration request, please make sure you have downloaded and read a copy of the Studio Policies. Once Dr. Bellamy-Lanz has confirmed and you have scheduled a lesson, you will need to submit a signed copy to finalize your enrollment in the studio. Please contact me with any questions or concerns.

Registration Form

Student Name

First Name

Last Name

Parent/Guardian Name (if student is a minor)

First Name

Last Name

Additional Parent/Guardian Name (if student is a minor)

First Name

Last Name

School

If you are a student, please enter your school here. If you are not a student, please enter "N/A"

Email

Please use a reliable email that you will check frequently.

Phone

Please provide a text-friendly phone number.

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Student Level

Please select how long you have been playing the flute.

Preferred lesson days/times

Select as many as suit your schedule.

Sundays (if available)

Weekday afternoons

Weekday evenings

During band class (if possible)

Saturdays (if available)

Please select the lesson duration you would prefer

More advanced students are encouraged to take 60-minute lessons. 30-minute lessons are appropriate for younger or beginning students.

Thank you for submitting your registration request!