Group Student Information Sheet
To be printed out and submitted by FAX, mail or deliver by hand to store.
Submission of this form implies you have read and agreed to the terms of the
Agreement Sheet.
Click here to access Form to submit-on-line.

Student Name:______________________________________________

Parent Name:_______________________________________________

Address:___________________________________________________

Work Phone:___________________Home Phone:___________________

City:____________________________Zip:__________________

Instrument(acoustic/electric?):______________________Level:__________

Age:____________E-Mail Address:_______________________________

Month Desired_______Using a lesson Certificate? yes/no

From the list below, circle ALL the times you are available to attend:
*Classes may be held on the hours as follow;

Tuesday3PM4PM5PM6PM7PM8PM
Wednesday3PM4PM5PM6PM7PM8PM
Thursday3PM4PM5PM6PM7PM8PM
Saturday10AM11AM12noon1PM2PM3PM

**Remember, the more flexible your schedule, the more likely you will be assigned for the coming month.
**Once students are assigned to a day/time they will keep the assignment for that month.

ALL STUDENTS MUST BE SIGNED UP BY THE 22nd OF THE MONTH PRIOR TO THE MONTH DESIRED.

ALL NEW SCHEDULES ARE E-MAILED AND POSTED ON THE WEB BY THE FIRST OF EACH MONTH. http://www.guitarshowcase.com. Check the schedule here if you do not get an email by the first of the month. Schedules are posted by the first of the month.

Signature of Student/Parent:_________________________________ Date:_____________________

*Upon SMI RECEIVING THIS FORM FILLED OUT AND SIGNED you can call Guitar Showcase with your credit card information that is needed for the $85.00 deposit. This includes ALL "FIRST TIME" GROUP LESSON SIGNUPS, even for those with a Free Lesson Certificate. The deposit is ONLY charged if you fail to attend your assigned lessons. This is to assure the teacher can be paid for his work.
For further information contact Norri at (408)377-5864 or FAX at (408)377-3701

3090 So. Bascom Ave. San Jose, CA. 95124 ~ 408-377-5864
Hours: M-F 10am-9pm ~ Sat 10am-6pm ~ Sun 11am-6pm
www.Guitarshowcase.com Send Us Email
Note; Roland and Yamaha products are available for shipping within the United States of America
and its possessions only.
Copyright 2004 Guitar Showcase. All trademarks are property of their respective companies.