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Berryessa Music School Registration Form
Student Registration form for Private and Group classes.
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Student's name
Student's age
Student's gender
Parent name(s), if applicable
Parent phone numbers (or personal phone number if student is an adult)
Parent emails (or personal email if student is an adult)
What class does the student want to take?
Clear selection
For 1-on-1, semiprivate and group classes: What instrument does the student want to learn?
Clear selection
What's the student's availability? (Weekday and/or weekend, and available time slots)
Does the student need a teacher/class in a language other than English? (Example: are they only fluent in Mandarin?)
How did you hear about our school?
Clear selection
What form of payment will you use? (We do not take credit card)
Clear selection
Do you have any other inquiries or comments we should know about?
Submit
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