Student Sign-Up Form
  info@gregorytechdrumcenter.com
720.989.8591

Complete and submit this form and you will be contacted to schedule
your complimentary introductory lesson.
- OR -
Please print, complete and bring this form to your introductory lesson.

Submitting this form will make you eligible for the Introductory Discount!

Drum Lessons in Denver
Go High Tech!

Your First Four Lessons For Only $159!



   
Date: Required
First Name: Required
Last Name: Required
Student's Email: Required
Date of Birth: Required
If student is a minor - Parent’s name(s):    Required
Parent’s Email:    Required
Parent’s Email 2:    Required
Address: Required
Address 2:    Required
City: Required
State: Required
Zip: Required
Home Phone:    Required
Cell Phone: Required
Work Phone:    Required
Preferred method of contact - email or phone?: *
(If phone, please specify home, work or cell)     
Required
   
How long have you been playing the drums?
What styles do you play?
What styles do you want to learn/improve?
What groups and/or drummers do you like?
Have you played in a group before? Are you currently in a group?
Do you read music?
Do you play any other instruments?
Please use the area below for any questions. Thank you!
   
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