Student Interest Form
Name of Student (Last, First) *
Your answer
Student Date of Birth *
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DD
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Name of Parent/Guardian (Last, First) *
Your answer
Email address *
Your answer
Phone Number *
Your answer
Street Address, City, State, Zip Code *
Your answer
When would you like to start lessons? *
Your answer
What instrument would you like to study *
Please list any previous musical experience (lessons, classes, ensembles) *
Your answer
Days you are available for lessons
How did you learn about the Bach Parley String Academy
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