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New Student Information Form
Please take a moment to help me get to know you before our first lesson. Thanks so much! -meg

Megan DeLaura
MD Music Productions
www.mdmusicproductions.com
Facebook: mdmusiccharlotte

Email address *
Parent Name(s) *
Your answer
Student Name *
Your answer
Student DOB *
MM
/
DD
/
YYYY
Address *
Your answer
Phone number *
Your answer
Current School and Grade *
Your answer
School Dismissal/Earliest Availability *
Your answer
Vocal Experience *
Your answer
Instrumental Experience *
Required
Please specify length of instrumental training
Your answer
Musical Theatre Experience *
Your answer
Musical Goals *
Your answer
Language(s) Studied *
Required
Add'l Parent Insight *
Your answer
Referred by:
Your answer
Megan DeLaura's Voice & Piano Studio
Thank you for providing this information. I'm looking forward to working with you on your musical goals! -Megan DeLaura
A copy of your responses will be emailed to the address you provided.
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