Private Music Lessons
Sign Up Form
First Name
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Last Name
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Student First Name
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Student Last Name
*
Student Age
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Email
*
Phone Number
*
Instrument(s) What do you play OR want to learn to play?
*
Electric Guitar
Drums
Acoustic Guitar
Bass Guitar
Piano
Vocals
Ukulele
Bass
Guitar
Keys
Other Instruments
Subjects
Music Theory
School Band Tutoring
Performance
Recording/Music Production
Songwriting
Arranging/Orchestration
How Long Have You Been Playing?
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Musical Influences
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Goals/Ambitions
Student Email
Student Phone Number
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