1 Student Information + Add another student Parent or guardian name (required if any student is under 18) Email address * Mobile phone number (optional unless authorizing texts) 2 Text Message Authorization — Optional By checking this box, I agree to receive text messages from Guitar Lessons in Homestead about lesson reminders, scheduling updates, and links to lesson materials. Message frequency varies. Message and data rates may apply. Reply STOP to opt out or HELP for help. Consent is not a condition of purchasing lessons. We will not share mobile information with third parties or affiliates for marketing or promotional purposes. Privacy Policy | Terms & Conditions 3 Photo & Video Permission Choose one. This permission is separate from text-message consent. YES — We occasionally share photos or short videos to celebrate our students’ musical progress. We never include last names or personal information. Your choice will not affect lessons and may be changed at any time. NO — I do not authorize public use of the student’s photo or video. Permission may be withdrawn for future use by contacting the school. Previously published or shared materials may not always be removable. 4 Acknowledgment & Signature Name of student or parent/guardian * Relationship to student Electronic signature * Date * I confirm that the information above is accurate and that I have authority to provide these permissions. * Website Review Answers Questions? montero@guitarlessonsinhomestead.com
