Enroll with DIMATexas

Parent/Guardian Name *

First Name

Last Name

Student Name *

First Name

Last Name

Phone Number *

(###)

###

####

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

*

Private Cello Lesson

Semi Private Cello Lesson

Private Guitar Lesson

Semi Private Guitar Lesson

Private Piano Lesson

Semi Private Piano Lesson

Private Ukulele Lesson

Semi Private Ukulele Lesson

Private Violin Lesson

Semi Private Violin Lesson

Private Voice Lesson

Semi Private Voice Lesson

Group Piano Class

Disney to Broadway Class

Garage Band Class

Group Ukulele Class

Music Connect Class

Rhythm & Music Class

Group Guitar Class

Harry Potter Musical

Wicked Musical

Payment *

Credit Card

Checkbox

Option 1

Option 2

Name *

First Name

Last Name