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
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Student Name *
Student Age *
If student is below 18, please enter a parent or guardian's name.
Lessons for which instrumet? *
Mailing Address *
City, State, Zip *
Telephone with Area Code *
E-Mail Address: *
Which day of the week would work  best for you?
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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.
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