Gift Certificate

Gift Giver (Your Name)*
First Last
Gift Giver (Your) Phone Number*
Gift Giver (Your) Email*
Name of Student's Parent/Guardian*
First Last
This person will be the one who schedules lesson days/times based on the student's schedule.
Phone Number of Student's Parent/Guardian*
Email of Student's Parent/Guardian*
Is the gift certificate for a currently enrolled student?*
Student Name*
First Last
Student Date of Birth*
MM slash DD slash YYYY
Student Name
First Last
Student Date of Birth
MM slash DD slash YYYY
Total Gift Amount*

Once we receive your payment over the phone or at our front desk, we will apply the total you listed here to the student's account. Please keep in mind that the parent/guardian of the student must enroll their children BEFORE we can process payment and apply the funds to their account.
Would you like to pay over the phone or in person?*
Once you've submitted your payment, how would you like to notify the parent/guardian of your gift?*
Additionl Information/Comment