Student Registration Form

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Thanks for stopping by!

Please fill out each question as completely as you can. Feel free to call, text or email me with any questions!

If you have general questions about lessons and are not ready to sign up yet, please fill out the form and add any questions you may have to the bottom of the page. This information will be helpful in answering your questions.

You will receive a response within 1 business day after submission.

Amy Cooley

Call / Text: 931-434-6860

Email: musicwithamycooley@gmail.com

WebSite: www.MusicWithAmy.com

Student Full Name and Age

Parent(s) name (if student is a minor)

Best Contact Phone Number(s)

Best Email Address(es)

What type of lessons is the student wanting to take? Check all that apply.

Piano

Voice

Songwriting

Theory

Other:

What type of lessons are you interested in? (check all that apply)

In-person

Online

Pre-recorded by Amy - at your own pace

Flex Classes (recorded - catered to each individual student and in-person/online)

Group Lessons

Other:

What, if any, musical experience do you have?

What do you hope to accomplish with lessons? Do you have any personal goals? Tell me anything I should know about you! :)

What days and times work for your schedule? (example: weekdays, mornings, Tuesdays only, afternoon, any day except Friday, etc)

Additional questions or comments.

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