Music Lesson Sign-Ups

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Please use this sheet to fill out information for interest in private music lessons for your student! These lessons will start as soon as possible, but will begin after confirming with teachers and parents.

Type of Music Lesson *

Student First Name *

Student Last Name *

Grade *

Guardian Name *

Guardian E-mail *

Best Cell/Phone # *

Guardian 2 Name *

Guardian 2 E-mail *

Guardian 2 Best Cell/Phone *

Student E-mail (if applicable)

Student Cell (if applicable)

What is the student's music background?

What does the student want to achieve out of music lessons?

Submit

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