Community Member Lesson Request

Prospective Student Last Name

Prospective Student Middle Name

Prospective Student First Name

Prospective Student Email Address

Prospective Student Phone Number

May we text this number with important information about your lessons?

Yes

No

Prospective Student Mailing Address

Country

Street

City

Region

Postal Code

Prospective Student Birthdate
Note: If the prospective student is under 18, we will need the following information from the student's legal guardian.

Legal Guardian First Name

Legal Guardian Last Name

Legal Guardian Email Address

Legal Guardian Phone Number

May we text this number with important information about your student's lessons?

Yes

No

What instrument are you interested in taking lessons on?

How many years experience do you have on this instrument?

Cancellation policy: Cancellation requests must be sent to tcms@umd.edu at least 24 hours before the scheduled lesson time. Lessons cancelled within 24 hours of the scheduled lesson time will incur a full charge.

By submitting this form, you acknowledge our cancellation policy.