Sign Up for Drum Lessons – Gregory Tech Drum Center

Complete and submit the form below and you will be contacted to schedule your complimentary introductory lesson. Gregory Tech Drum Center does not rent, share, or sell any contact information (address, phone, email) with third-party organizations.

NOTE: Please avoid using email addresses that may be thought to be a source of spam (hotmail.com or some other free email system).

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

Today's Date (Required)

Name of Student (Required)

Student's Email (Required)

Date of Birth (Required if student is a minor)

Emergency Contact/Parent's name

Emergency Contact/Parent's Email

Emergency Contact/Parent's Phone

Emergency Contact/Parent's Email 2

Address (Required)

Address Line 2

City (Required)

State (Required)

Zip (Required)

Home Phone

Mobile Phone (Required)

Preferred method of contact: email; phone; or text? (Required)

(If phone, please specify: home or mobile)

Please list any food allergies or medical conditions: (Required)

How long have you been playing drums?

Right-handed or Left-handed? (Required)

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? (Required)

Do you play any other instruments?

Cancellation Policy: I require at least 24 hours’ notice if you need to reschedule a lesson. If proper notice is not given, you will be charged for the missed lesson and will not be eligible for a make-up lesson. Make-up lessons must be made up within one week of the canceled lesson, or no credit will be issued. Likewise, If I need to reschedule a lesson and do not give you at least 24 hours’ notice, your next lesson will be free of charge. Exceptions will be made for inclement weather, sudden illness, and family emergencies.

Please select Yes to agree. (Required)

Please use the area below for any questions. Thank you!