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Fall 2023
Thanks for your interest in music lessons!
Please complete this form to request a slot for Fall 2023 music lessons with Gabrielle. If a slot is available, she will contact you to complete the enrollment process.
* Indicates required question
Email
*
Record my email address with my response
Student's name
*
Your answer
Pronouns
Your answer
Birthdate
*
MM
/
DD
/
YYYY
Phone Number
*
Your answer
Parent's Name (if under 18)
Your answer
Email Address
*
Your answer
Mailing Address
Your answer
Emergency Contact
Your answer
Select instrument(s)
*
Piano
Guitar
Ukulele
Theory/Composition
Audition Prep
Other:
Required
Select length of lesson (check all that apply)
*
30 minutes
45 minutes
60 minutes
Required
Request at least 3 days/time you'd like for lessons
*
Your answer
Treats are occasionally provided. Does the student have any food allergies?
Your answer
If you are a new student, how did you hear about us?
Your answer
Please briefly share your musical goals, interests, and experiences (Specifically for new students, but returning students are also welcome to share!)
Your answer
Send me a copy of my responses.
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