Please complete the form below. Once complete, you will sign up for your FREE trial lesson on the next page! Name * Student Name First Name Last Name Parent/Guardian Name Parent Name only needed if student is under 18 First Name Last Name Email * Phone * (###) ### #### Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Student Age * 6-11 12-18 19 and up Birthdate * MM DD YYYY Instrument * 1-on-1 Voice 1-on-1 Piano 1-on-1 Organ 1-on-1 Drums Group Piano Group Voice Group Drums Preferred Lesson Cycle Type * 30 min lessons/ $140 a month 45 min lessons/ $190 a month 60 min lessons/ $260 a month Group Lessons 45 min / $140 a month Preferred Lesson Day * You can select up to 3 days. Please Note our hours are M-F 9AM-7PM, Sat. 9AM-1PM. Group lessons are offered on Tuesday - Saturday Monday Tuesday Wednesday Thursday Friday Saturday Preferred Lesson Time * Morning 9am-12 pm Afternoon 12pm-4pm Evening 4-7:00pm Do you prefer virtual or live lessons? * Virtual Live Preferred Payment Frequency * Monthly Bi-Monthly Quarterly In our efforts better serve our students, please advise of any medical conditions or special requests JAMS Promo Code If you have a PROMO CODE, enter below How did you hear about JAMS Academy? * Facebook Instagram Google Youtube Referral from JAMS Student Referral from JAMS Instructor Mesquite ISD Please accept our Terms & Conditions * By ticking the box below, you are accepting our Terms & Conditions. To read our full Terms & Conditions please visit: https://www.jamsacademy.net/policy I agree Thank you! Book Free Trial Lesson
