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NEW STUDENT REGISTRATION

Age
Adult
Child
Choose
Male
Female

1 ##########

Student Birthday
Month
Day
Year
Preferred Lesson Day
Preferred Lesson Time of Day
Instrument/s (Choose that apply)
Skill Level
Add another student?
Yes
No

Additional Student Info

Age
Adult
Child

First

Last (If different)

Choose
Male
Female
Student Birthday
Month
Day
Year
Preferred Lesson Day
Preferred Lesson Time of Day
Instrument/s (Choose that apply)
Skill Level
Who is the account contact?
Student
Alternative Contact

1 ##########

Please click link to open and read the Parent/Student Contract:

https://bit.ly/4di7189

I agree to the Parent/Guardian Contract
Yes
No
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