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Rich Pond Fine Arts Academy
Student Registration
If you have multiple family members wanting to receive lessons, please fill out a different form for each student. Thank you.
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Lessons are 30 minutes each on a Monday or Tuesday evening. We offer lessons from 3:00-7:00.
Student name
Your answer
Student's birthday
MM
/
DD
/
YYYY
Parent name (if different than student)
Your answer
Phone number
Your answer
Email address (This is how I will contact you in regards to lesson times/cancellations/etc.)
Your answer
What instrument is this student wanting to receive lessons?
Guitar
Percussion
Piano
Strings
Ukulele
Voice
Clear selection
Has this student received lessons on this instrument before?
Yes, from the Rich Pond Fine Arts Academy
Yes, but NOT from the Rich Pond Fine Arts Academy
No
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