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Private Lesson Form 17-18
Please sign up by Friday August 19. See Mr. Giel with any questions.
Student Name (Last, First) *
Your answer
Student Instrument *
School *
Parent/ Guardian Last Name *
Your answer
Parent/ Guardian First Name *
Your answer
Parent/ Guardian Email Address *
Your answer
Parent/ Guardian Phone Number (Home or Cell) *
Your answer
Is the student currently taking private lessons? *
If student is taking lessons, please list the private teacher name.
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