Lewis Music Academy

To sign up for a course just submit the following application, or call
(805) 523-1615. Please fill in all required fields * and hit the "submit" button at the bottom of the page. Make sure to indicate which class or classes you wish to enroll in and to double-check your contact information.

Please indicate the class or classes you wish to enroll in:
(check all that apply)

Piano Lessons
Voice Lessons
Guitar Lessons
Bass Guitar Lessons
Violin Lessons
Viola Lessons
String Bass Lessons
Cello Lessons

Drum Lessons
Oboe Lessons
Clarinet Lessons
Flute Lessons
Music for Tots
Rock Band
Creative Writing & Recording
Worship Music Workshop

Please indicate the class type wish to enroll in:
(All new students need to complete 3 private lessons prior to joining any group or combination class)

Group Lessons
Combination Lessons
Private Lessons
Family Lessons

2012 Rock & Roll Summer Camp Signups:

Dates TBA

General information:

* Student's Name:

* Student's Age:

* Student's Grade:

* Parent's Name:

* Phone Number:

* Email Address:

* Address / City / ZIP:

Days that work best for your 3 Introductory Private lessons:

How did you hear about us?

Referral from a friend
Happenings Magazine
Coffee News

Parent Click
Kim Pagano Show

Additional Comments:

__________________________________________________________________
cheryl@lewismusicacademy.com | (805) 523-1615 | 216 Moorpark Ave Suite 100

Please indicate the class or classes you wish to enroll in: (check all that apply)

Please indicate the class type wish to enroll in: (All new students need to complete 3 private lessons prior to joining any group or combination class)

2012 Rock & Roll Summer Camp Signups:

General information:

How did you hear about us?

Please indicate the class or classes you wish to enroll in:
(check all that apply)

Please indicate the class type wish to enroll in:
(All new students need to complete 3 private lessons prior to joining any group or combination class)