Private Lesson Registration/Inquiry

Thank you for interest in private lessons in the Beacock Music Education Center!  Please fill out the registration form, and the Education Center will contact you shortly.  If you have any questions, please feel free to contact the Education Center directly at edcenter@beacockmusic.com or (800) 729-7134.

Student Name (required)

Student Age (required)

Parent/Guardian

Primary Phone Number (required)

Secondary Phone Number

Address (required)

City (required)

State (required)

Zip (required)

Email (required)

Instrument (required)

Preferred Lesson Time(required)

Preferred Instructor (required)

Other (required)