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EKS Music School Re-Enrollment Form 2020 - 2021 (Private Lessons ONLY)
121B Standish Avenue, Quincy MA 02170
(617)770-7677
info@eksmusicschool.com
www.eksmusicschool.com
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* Indicates required question
Student Name (First Name Last Name)
*
Your answer
Student Type
*
Adult (18 or older)
Child (Please fill out the Parent's information in the next box below)
Required
Email Address
*
This is the primary form of communication you will recieve from EKS Music School.
Your answer
Best Phone Number to Reach You
*
For emergencies, rechedulings, and etc.
Your answer
Current Address
*
Your answer
Parent/Guardian's name (First Name Last Name)
*This is the parent who is the primary contact who recieves school emails and responsible for account payments.
Your answer
Current Instructor (Please select)
*
Ms. Ellyses Kuan (Piano)
Dr. Xuan He (Piano)
Dr. Ines Andrade (Piano)
Mr. Sasha Beresovsky (Piano)
Mr. Jim Davidson (Guitar)
Mr. Charles Ewing (Guitar)
Ms. Susan Bill (Violin, Viola)
Mr. Timothy Ayres-Kerr (Voice)
Ms. Jen Pearl (Voice)
Mr. Gary Lau *(Will be replaced by new wind instructor)
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