Lesson Sign Up Form
From those just starting out to life-long learners — the Music Institute of Roseville is for you! We offer a variety of lesson options, simply use this form to sign up!

Have a question during the sign up process? Feel free to contact us! We would be happy to help!

If the student is under 18 years old, please have an adult complete this form. Thanks!
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Email *
Phone Number *
Have you or your student previously taken lessons at the Music Institute of Roseville?  *
Who are these lessons for? *
If the student is under 18 years old, please have an adult complete this form. Thanks!
Student's First Name *
Student's Last Name *
Student's Birthdate *
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What instrument(s) would the student like to learn?
 *
Does this student have any past experience in music lessons? *
How did you find out about us? *
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