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Email
*
Your email
student's first name
*
Your answer
student's last name
*
Your answer
student's birthday
*
MM
/
DD
/
YYYY
What school does the student attend?
*
Your answer
Does the students have any special needs? learning disabilities? physical limitations? food allergies? If so, please explain.
*
Your answer
Are you registering for piano or accordion?
*
piano
accordion
other
Does the students have an instrument at home to practice on? Please describe it.
*
Your answer
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