Bearden's Music Lesson Enrollment Form
Please fill out this form completely and we will contact you about a time and payment information. You can call us at 337.625.5397 for more information or go to our website: www.BeardensMusic.com
Student Name *
Your answer
Student Age *
Your answer
If student is below 18, please enter a parent or guardian's name.
Your answer
Lessons for which instrumet? *
Mailing Address *
Your answer
City, State, Zip *
Your answer
Telephone with Area Code *
Your answer
E-Mail Address: *
Your answer
Which day of the week would work best for you?
Could you schedule your lesson in the early afternoon from 1pm to 2:30pm? *
Do you already have an instrument on which to practice at home? *
Please type any concerns or questions you may have below.
Your answer
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