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Student Name *

First Name

Last Name

Student's Date of Birth *

Students under 8 years of age are at the discretion of our teachers No students under 6 year of age

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DD

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Private lessons or a band program? *

Band programs require enrollment in private lessons.

Private Lessons

Band and Private Lesson

Subject(s) *

Acoustic Guitar

Cello

Drums

Electric Bass

Electric Guitar

Keyboard

Music Production

Music Theory

Musical Theater (Voice)

Saxophone

Songwriting

Spoken Word / Poetry

Trumpet

Ukulele

Viola

Violin

Voice

Parent / Guardian Name *

First Name

Last Name

Parent / Guardian Phone Number *

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