Holiday Music Lesson Special

Fill this out now and start lessons in the New Year

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Your Name *

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Last

Student's Name *

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Last

Student's Birthdate *

Which instrument would you like to play? *

What musical experience have you had? Its okay to be a complete beginner! *

Choose your preferred lesson length *

30 minutes 45 minutes 60 minutes

Would you like to come twice a week? *

Yes No Maybe

Tell us your top three lesson day and times *

Email *

Phone Number *

Address *

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City

State

Zip Code

Country

How did you find us or whom may we thank for referring you? *

Additional Comments or Questions *