Lesson Registration
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Parent/Guardian name (if student is under 18)
Student Name
 *
Student Age *
Student and/or parent/guardian email address(es)
Please specify which email address belongs to whom
 *
Student and/or parent/guardian phone number(s)
Please specify which phone number belongs to whom
 *
Please list an emergency contact below (other than the parent filling out this form). Include their first and last name, relation to the student, and phone number. *
In person or virtual lessons?  *
What is your availability? *
What is your musical background? Please include anything relevant from participating in choir/band at school to having relatives that are musical, etc. If you don't have any experience, just write none. 
 *
Does the student have an issue going up and down the stairs? *
Does the student have any health concerns that the instructor should be aware of? If so, please explain below. If no, write "none." *
Do I have permission to post photos of the student in my monthly newsletters and on social media? (example: to announce a student's role in their school's musical).  *
How did you hear about Hudson Voice Studio? *
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