Lesson Inquiry
Thank you for your interest in The Music Box!  
Please fill out this form and we will contact you shortly via email about your inquiry.
If you have any questions please contact us at info@themusicboxinc.com or give us a call at (407) 505-1611.
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Student Name *
Student Age *
What Type of Lessons Are You Looking For? *
Required
If You Selected Performance Groups or Studio Classes, Which Class/Group Are You Interested In?
**(If None Type N/A) *
Any Prior Musical Experience? (Previous lessons, school groups, etc.) *
What Day and Times are You Available? *
Mornings
Early Afternoon (2:00-4:00)
Late Afternoon (4:00-6:00)
Evening (6:00-8:00)
No Availability On This Day
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Parent/Guardian Name
**(If You Are An Adult Inquiring Yourself, Type N/A) *
Best Phone Number to Contact You At? *
Best Email to Contact You At? *
How Did You Hear About Us? *
Any other notes or questions?
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