Phone

(###)

###

####

Age Range Of Student? *

6-9

10-13

14-18

19-29

30-49

50-65

66+

What Level Player Are You? *

Total Beginner

Beginner/Intermediate

Intermediate

Advanced

Have You Taken Drum Lessons Before? *

Yes

No

How Would You Like For Mike To Contact You? *

You Can Choose More Than One

Call

Text

Email

Are you ok with driving to Elgin, IL for lessons?

Yes

No

Are you available for a lesson on Mon-Thurs at 7pm? *

Yes

No

Sometimes

Are you available for a lesson on Mon- Thurs at 8pm? *

Yes

No

Sometimes