Lesson Inquiry Form
Thanks for contacting us! Please fill out this form and we will contact you with more information, set up a Free 15min Trial Session if you'd like, and/or help you with registration.

If you have any questions, please email us at hello@bergenacademy.com. Thank you!
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How did you hear about us?
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Student's Full Name (First, Last) *
Student's Birthday (Month/Day/Year) *
Which instrument(s) are you interested in? (Choose all that apply) *
Are you a beginner student? If you have prior experience, how much experience? *
Parent/Guardian Full Name, or "Self" (Title/First/Last) *
Phone Number (Please indicate whether cell/home number) *
Email Address *
We offer a Free 15-minute Trial Session. We generally try to schedule it for a day/time that would become your official lesson spot should you choose to enroll. Would you like to register for a free trial? *
Do you have any questions or comments? Is there anything you'd like to share about yourself that would help us find the right teacher for you?
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