Reuben Vincent's Music Services - Lesson Registration

Registration

Are you an adult student or the parent of a student?

I am a(n)

Adult Student Information

First name *

Last name *

Email *

Email *

Website URL *

Phone

Login Details

Username *

Password *

Verify Password *

*You will not be able to login until your teacher has activated your account.

Parent Information

First name *

Last name *

Email *

Email *

Website URL *

Phone

Login Details

Username *

Password *

Verify Password *

*You will not be able to login until your teacher has activated your account.

Student Information

First name *

Last name *

Additional Information

What would like to get from your music lessons?

Between what times are you available for lessons between Mon-Wed? Are you available in the daytime?

How did you find out about Reuben?

By checking the box and clicking 'Register" you agree to our studio policy.