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Name

First Name

Last Name

Email Address

Student Name(s) and Age

Are the lessons for you or someone else? Are there more than one student?

Instrument

Which instrument are you interested in learning?

Music Experience

Have you or the person you are getting lessons for ever played an instrument? How long?

Availability

Daytime or Evening? Weekday or Weekend?

Location

In which city do you want the lessons to take place?

How did you hear about us?

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