Student *

First Name

Last Name

Primary Contact *

First Name

Last Name

Would you like to switch to online lessons using Zoom.us? *

Yes please!

No thanks

Which of the following do you have at home? *

(Select all that apply)

Apple MacBook

Windows Laptop with Camera, Mic and Speakers

Apple iPad

Other Tablet

Apple Mac Desktop

Windows Desktop with WebCam, Mic and Speakers

Apple iPhone

Android Phone

None of the above