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New Drum Student Form
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* Indicates required question
Name of Student
*
Your answer
Age of student (if under 18)
*
Your answer
Does the student have any special needs, disabilities. or medical conditions that I (Jon Berghouse, the drum teacher) should be aware of?
*
Your answer
Guardian Name(s)
*
Your answer
Phone Number
*
Your answer
Describe any past experience playing drums:
Your answer
Describe any experience playing music.of any kind:
Your answer
Do you have any specific goals regarding drums or music lessons? (Joining or improving in school band, audition preparation, personal development, new hobby, social reasons, just because 🙂)
Your answer
Please tell me anything about yourself or the student that you would like to share with me!
Your answer
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