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Musicality Schools Registration
Please submit one form per student.
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* Required
Student First and Last Name
*
Your answer
Parent Names
*
Your answer
Mailing Address
*
Please include city and zip code
Your answer
Birthdate
*
Your answer
Best phone # to reach you at
*
Your answer
Email address
*
Email is our main form of communication so please check often
Your answer
Name of school attending
Your answer
What time do you get out of school?
*
Your answer
Please check your preferred time slots for Mondays
2:00-4:00pm
4:00-6:00pm
6:00-8:00pm
Other:
Please check your preferred time slots for Tuesdays
2:00-4:00pm
4:00-6:00pm
6:00-8:00pm
Other:
Please check your preferred time slots for Wednesdays
2:00-4:00pm
4:00-6:00pm
6:00-8:00pm
Other:
Please check your preferred time slots for Thursdays
2:00-4:00pm
4:00-6:00pm
6:00-8:00pm
Other:
Does your student currently have a keyboard or piano to practice on at home? If YES, please specify.
*
Your answer
Additional comments or info we should be aware of:
Your answer
If you are a new student, how did you hear about us?
Referral by a friend
Google search
Facebook
Website
Flyer
Other:
If you were referred by a friend, who may we thank for your referral?
Your answer
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