Update Information Form Please remember to update here when any of your important contact info changes. Student's Name(required) Student's Birthdate (m/d/y)(required) Student's School(required) Home Zip Code(required) Parent's Names(required) Parent's Email(required) Home Phone #(required) Cell Phone #(required) I understand upon withdrawal of lessons I must inform instructor by email by the 15th of the month prior to withdrawal or following month's tuition is due in full.(required) I Agree Comment REFERRALS: Do you have any friends who may be interested in starting lessons with Mike? If yes, leave their preferred contact information or pass my info onto them. I offer $20 off one months tuition when your friends enroll.(required) Yes I have friends interested! No not at this time If yes please supply preferred contact info. Share this:Like this:Like Loading...
