Student

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School

Grade

Tell us a little about yourself

What are some of your favorite bands/artists/songs?

Have you ever played an instrument? Which? How long?

Why do you want to play an instrument?

Parent

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Last Name (required)

Relation to student (required)

Contact Information

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Email (required)

Emergency Contact

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Last Name (required)

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General Info

How did you hear about us?

Were you referred by anyone?

Which Instrument would you like to sign up for?
GuitarBassViolinPiano

Which duration of lesson would you like?
30 Minute45 Minute60 Minute