Music+ Registration Form
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Name of Student *
Age of student *
Phone Number *
Email Address *
Preferred method of contact?
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Gender *
Required
Instrument of Choice *
(You may sign up for instruments available in the future, we will contact you later with details)
Required
Experience with Instrument
(Years, Months, or Days)
Days Preferred *
Required
Preferred Lesson Time *
(Please specify what day and what time)
Top 5 Favorite Artists *
How did you hear about Music+?
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Submit
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