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Online Application
Your $25 application fee will be sent to you through QuickBooks after your first lesson with our instructor!
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* Indicates required question
Applicant First Name
*
Your answer
Applicant Last Name
*
Your answer
Gender:
*
Male
Female
Date of Birth:
*
MM
/
DD
/
YYYY
Grade (if applicable):
Your answer
Age:
*
Your answer
Guardian First Name:
*
Your answer
Guardian Last Name:
*
Your answer
Email Address (your invoice will be sent to this address)
*
Your answer
Phone Number:
*
Your answer
Home Address:
Your answer
What is your interest of private instruction?
*
Piano
Violin
Cello
Voice
Guitar
Clarinet
French Horn
Trombone
Trumpet
Ukulele
Required
Do you have any experiences with the boxes you have checked above?
Yes
No
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If yes, please let us know how long you have been taking lessons and tell us more about your musical background!
Your answer
If you were to describe your child's personality in a short sentence, what would it be? This would help us in tailoring your lesson experience at AVMA.
*
Your answer
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