Bassoon Interest Form
Upper Valley Music Center
Who are you inquiring for?
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Myself
My child/children
Other
What best describes your experience?
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Play bassoon in school band
Play bassoon in another ensemble
I used to play bassoon but haven't played in a while
I'm new to the instrument
Other
Please tell us a little more about your bassoon experience.
*
What programs would you be interested in?
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one-on-one lessons
ensemble opportunities
workshops
Other
Please provide details about your availability, including what days of the week and times you might be available.
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(i.e. "Mondays and Wednesdays, 3-6 pm, Fridays after 6 pm;" be as specific as you can!)
Do you have any special needs that you would like us to know about, or is there anything UVMC can do to help you access our programs?
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Name of Student 1
*
First Name
Last Name
Date of Birth of Student 1
*
Pronouns of Student 1
Name of Student 2 (If Applicable)
First Name
Last Name
Date of Birth of Student 2 (If Applicable)
Pronouns of Student 2 (If Applicable)
Name of Parent/Legal Guardian (If Applicable)
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Where did you hear about UVMC?
Word of mouth (friend, family member, or coworker)
Social media
Internet search
Postcard
Print advertisement
Poster/flier
Other
Submit
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