Independent Student Registration (No CC)
Use this form if you are registering for your own lessons.
Click link below IF you are registering for a child or more than 1 student together.
Please use the
Family Registration Form
https://spacecityschoolofmusic.teachworks.com/form/student-
registration
Leaving a Credit Card or Debit Card will include a 5% discount, click below to register with a Credit Card or Debit Card.
https://spacecityschoolofmusic.teachworks.com/form/independent-studen
t-
registration
First Name
Last Name
Email
Confirm Email
Mobile Phone
By submitting, you agree to receive text messages at the provided number from Space City School of Music LLC. Message frequency varies, and standard message and data rates may apply. You have the right to OPT-OUT receiving messages at any time. To OPT-OUT, reply "STOP" to any text message you receive from us. Reply HELP for assistance.
Address
Address Line 2
City
State
Zip
Birth Date
Start Date
Briefly describe some of your musical goals.
What is your favorite band or artist?
Instrument(s) Of Choice
Guitar
Drums
Vocals
Piano/Keys
Ukulele
Bass Guitar
Program(s) Of Choice
Group Instruction
Private Instruction
Hybrid Instruction
Did someone refer you to us?
How did you hear about us?
Select
Yard Sign
Online Ad
Facebook/Social Media
Google
Website
Drive By
Word of Mouth
Other
https://docs.google.com/document/d/1xX8ET0qJZh6d18vb3JSBkKAsHhzERI8y3FM19Y0jbKI/edit?usp=sharing
Please click the link below and carefully read through the SCSM lesson agreement below. When you are finished, please agree by clicking the check box below.
Coupon Code:
Submit
