Parent's Name:
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Student's Name
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First Name
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Student's age:
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What is your experience?:
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Never took lessons before
Tooks lessons for up to 1 year
Took lessons for 2-3 years
Took lessons for more than 3 years
Choice of Class:
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Piano
Voice
Guitar
Ukulele
Bass
Violin
Viola
Cello
Drums
Flute
Clarinet
Saxophone
Trumpet
Trombone
Tuba
Horn
Art
Kindermusik
Pre-school Music
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E-mail
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Phone Number
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List your top 3 days/time frames (e.g. Monday, 4-6, Saturday, 10-2 etc.):
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30 min Intro Class
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