Guitar Lessons with Ezra Application Form & Questionnaire Student's Name * First Name Last Name Is Student Under the Age of 18? * Yes No Age of Student if Under 18 Parent's Name (if under age 18) First Name Last Name Contact Email * Cell Phone for text messages * (###) ### #### What type of guitar do you have? * Steel String Classical / Nylon String Electric Guitar I do not have a guitar yet Do you want suggestions for guitars that you could purchase? Yes No What are you most interested in learning? * Strumming and singing songs Learning how to read sheet music Learning how to read tablature What are some songs that you especially like or would like to learn? Are you interested in 30 min or 60 min lessons? * 30 Minute 60 Minute How often would you like to have a lesson? * One time each week Every two weeks One time each month How enthusiastic are you to learn and play guitar? * I just want to try it to see if I like it I would like to be able to play a song or two for fun I want to play guitar socially like at a camp fire just for fun I want to play guitar every day and get skilled at it I want to become a proper musician and be able to play any song and even write my own songs eventually Which day and time would work best to have your lessons? * NOTE: This question is just to help me begin to decide when to have lessons. I will follow up with actual time slot options later. Monday afternoon between 2pm and 4pm Monday evening between 5pm and 8pm Tuesday afternoon between 2pm and 4pm Tuesday night after 8pm Wednesday afternoon between 2pm and 4pm Wednesday night after 8pm Thursday afternoon between 2pm and 4pm Thursday night after 8pm Friday afternoon between 2pm and 4pm Friday night after 8pm Saturday morning between 9am and 12pm Sunday morning between 9am and 12pm Sunday afternoon between 12pm and 3pm Sunday afternoon between 3pm and 5pm Sunday night after 5pm Payment for lessons will be due on the day of each lesson. How would you like to pay normally? * 30 minute lessons are $20, 1 hour lessons are $35. Cash Check Payment app such as Paypal or Cash app Would you prefer to have your lessons in person or online over zoom? * In Person Online over zoom Are you ready to rock?! * Yesssssss! I'm not sure. Thank you for filling out the application! I will be in touch with you directly with time slot options. Please feel free to contact me any time via FB messenger, or text message if you have any questions, comments or concerns. -Ezra606-730-1495