Private Lesson Sign up

Fill out the form below to register for classes at Mode!

Name

First Name

Last Name

Email

Phone

(###)

###

####

Preferred Location

Vashon Island

West Seattle

Student 1

Student Name

Student Pronoun (optional)

Student Age

Student instrument

Student preferred class type

Virtual

Hybrid

In-Person

Preferred Time, Day, or Teacher?

Student 2 (optional)

Additional Student Name (optional)

Additional Student Pronoun (optional)

Aditional Student Age (optional)

Additional Student Instrument (optional)

Additional Student Lesson Types (optional)

Virtual

Hybrid

In-Person

Preferred Time, Day, or Teacher?

Any other Comments?

Text Area

Text Area