Meet and Greet Introductory Music Lesson Form
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Student's First/Last Name
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Age
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Additonal Student: First/Last Name
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Age
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Parent/Guardian First/Last Name
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Mailing Address
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City
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State
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Zip Code
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Primary Phone Number
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Other Phone Number
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Email Address
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Would you like to receive a monthly e-newsletter from Monroe Street Arts Center?
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no
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Please list any allergies or special needs for the student listed above.
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How did you hear about Monroe Street Arts Center?
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word of mouth
returning student
print or online newspaper
Facebook
MSCR Guide
School Flyer
Hulafrog
Other:
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What instrument(s) are you seeking lessons for?
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Banjo
Cello
Clarinet
Drums
Flute
French Horn
Guitar - Accoustic
Guitar - Classical
Guitar - Electric
Piano
Saxophone
Suzuki Piano
Suzuki Violin
Ukulele
Trumpet
Violin
Viola
Other:
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What is your skill level?
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Beginner
Intermediate
Advanced
Other:
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Please list the number of years of experience or any other experiences to note.
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Please list preferred days and times for lessons, MSAC is open Monday-Saturday.
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Additional Notes
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