Angela Buckley Music
Contact Form 2020-21
Student First Name
Student Date of Birth
Do you have a working keyboard and/or a tuned piano at home?
Parent/Guardian Phone No.
Do you have an internet connection?
Are you interested in
Buddy Lessons (Ages 8+, 60 min)
Solo Lessons (Ages 8+, 45 min)
Buddy Lessons (Ages 7 and under, 40 min)
Solo Lessons (Ages 7 and under, 30 mins)
Keyboard Katapult (Ages 8+, Group)
A copy of your responses will be emailed to the address you provided.
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