EASY STEP 4 OF 4: Fill Out simple form  
 

E-mail: virgil@tampaguitar.com

If you are under 18 PLEASE have your parent fill out this form!

Student's Name
Parent's Name
(If student is under 18)
Age (Must be 10 or older)
E-mail (Parent's e-mail if under 18)
PROMOTION CODE:
Phone Area Code Phone
Experience level:
Style you want to learn:
Click this button if you do NOT currently own a guitar:
What type of guitar do you own? Acoustic Electric
Acoustic & Electric Need a guitar
(Sorry, I do not provide guitars, however, if you are looking to purchase a guitar, this Info page "Buying Guitars 101" may help. PLEASE do not fill out this form until you have a guitar and are ready to begin lessons..thanks;)
Time Slots
Please note that I do NOT do "Flexible schedules". Your lesson will have to be the same time every week.
DAY preferred for lesson:
Preferred TIME:
2nd choice for DAY Preferred
2nd choice Preferred TIME:
If you selected a Saturday, time preferred:
Date you want to begin lessons:
How would you like me to contact you back:
*PLEASE NOTE! If you are having me contact you back by e-mail, I will be sending you a confirmation the same day - if you do not contact me back within 24 hours, I have to make the time slot available for other prospective students (In other words - please check your e-mail frequently if you are submitting this form!)
How did you find out about me?
Questions/Comments

After you submit this form, I will see what time slots I have available and will normally e-mail you immediately after I receive the submission. Please respond back to me as soon as possible, so we can secure a time for you. (Check your e-mail shortly after submitting your form).

By checking this box, you agree to my Terms Of Service

 

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