Sign Up

Fill out the following form to begin the sign-up process!*

I will be in touch with you at my earliest convenience upon submission to schedule your student's first session, free of charge :)

This form is required for new students whether you are planning on booking through Heartland or not.

*Not super tech-savvy? No worries. I can fill this form out for you over the phone if you'd prefer, just give me a call! (805) 391-7720