EKS Music School Re-Enrollment Form 2020 - 2021 (Private Lessons ONLY)
121B Standish Avenue, Quincy MA 02170
(617)770-7677
info@eksmusicschool.com
www.eksmusicschool.com
Student Name (First Name Last Name) *
Student Type *
Required
Email Address *
This is the primary form of communication you will recieve from EKS Music School.
Best Phone Number to Reach You *
For emergencies, rechedulings, and etc.
Current Address *
Parent/Guardian's name (First Name Last Name)
*This is the parent who is the primary contact who recieves school emails and responsible for account payments.
Current Instructor (Please select) *
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