Private Lesson Packages
Please fill out all areas of this form - after you submit this form please go to our online store to make payment or mail your check payable to CSP to CSP, PO Box 513, Bristol, RI  02809.

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Community String Project
Student Information
First Name *
Last Name *
Address *
City, State *
Zip *
Home Number (if no land line please indicate "none") *
Cell Number (if no cell please indicate "none") *
Work Telephone
Email  (if no email please indicate "none") *
Emergency Contact Name
Emergency Contact Phone
Relationship
Emergency/Medical Notes
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