Prospective Student Interest Form

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Prospective Student Interest Form

Please fill this form out to express your interest in taking lessons with me! This form will also help guide us to what curriculum or "Educational Points of Emphasis" are appropriate for you, or your student. I'm available to teach currently from my private studio and visiting your home or school.

I look forward to hearing from you!

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* Indicates required question

Email *

Your email

Student Full Name *

Your answer

Parent/Guardian Full Name *

Your answer

Parent/Guardian Email *

Your answer

Parent/Guardian Phone Number *

Your answer

Have you taken private lessons before? *

Yes

No

How long have you been playing the bassoon? *

I'm brand new!

<1 year

1-2 years

3+ years

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