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La Mere Music Studio Registration
This form is for private lesson registration only.
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* Indicates required question
Student Information
First & Last Name
*
Your answer
Age
*
Your answer
Select your desired instrument(s) below:
*
Piano
Drums
Guitar
Bass
Ukulele
Mandolin
Voice (Singing)
Songwriting
Undecided
Required
Parent/Guardian Information
First & Last Name
*
Your answer
Phone Number
*
Your answer
Can we call or text the given number?
*
Call only
Text only
Both
Required
Is there anything we need to know about the student you are registering? (i.e. allergies, etc.)
Your answer
Someone will be in contact with you shortly to confirm your registration and discuss studio policies and payment options. Thank you!
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