Private Lessons Registration Form
Lopez Middle School Band
Email *
Student Name (Last, First) *
Instrument *
Grade *
Class Period *
Parent Name *
Parent Email *
Parent Phone (555-555-5555) *
Some of our instruments have multiple teachers. If you have a teacher preference or are already studying with a teacher, please enter their name here.
When would you prefer to have lessons? Please note that availability varies from teacher to teacher. *
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