Eli Kaynor, Cellist

Student Name *

First Name

Last Name

Parent or Guardian 1

First Name

Last Name

Parent or Guardian 2

First Name

Last Name

Phone *

(###)

###

####

Checkbox *

By checking the box below, I confirm I have read and agree to Eli Kaynor’s Studio Policies in full, including those regarding attendance, absences, payment, and lesson preparedness.

Scheduling *

Please select all scheduling options below that would work for you. If none of these options are feasible, please briefly describe your availability and scheduling constraints in the message box below. Eli will follow up with you to discuss and confirm your lesson plan. Thank you!

Weekday mornings (8AM to 12PM)

Weekday early afternoons (12PM to 2PM)

Weekday late afternoons (2PM to 5PM)

Weekday evenings (5PM to 9PM)

Weekend mornings (8AM to 12PM)

Weekend afternoons (12PM to 5PM)

Weekend evenings (5PM to 9PM)

These options do not work for me. (Please describe below.)