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"Rebecca's Music Studio" New Student Form
Please fill out each section below. I will contact you after submission! For more info, visit:
Student Name (multiple students within the same family can be listed here) *
Your answer
Student Age/Grade (if under 18)
Your answer
Parent(s) Name(s) (if under 18)
Your answer
E-mail *
Your answer
Phone # *
Your answer
Select from the following *
Have you (or your child/student) had musical training before? If so, please describe below. (If none, just write NONE.) *
Your answer
Please select your best estimated skill level. *
Lessons are typically weekly 1/2 hour slots, and take place at my home in Park City. (I do not offer in-home lessons.) *
After submitting this form, I will contact you with lesson info, review open time slots, and go over details. *
In order to complete enrollment and secure your time slot, registration payment must be made. $25 per student OR $35 max per family. (Payment will be arranged with me directly.) I do not hold time slots for anyone without payment. *
I strongly recommend printing and/or reading my entire studio policy at the beginning of enrollment, to ensure less confusion later on! *
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