Snake River Strings Co.                                                 New Student Enrollment or Request for More Info
Fill out the form below to be contacted about registering a new student for music lessons at Snake River Strings Co.
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Email *
Student's Full Name *
Parent's Full Name (if under 18)
Interested in lessons for what instrument(s)? *
Students Birthday *
MM
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DD
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Email addresses you would like included on my email lists and google calendar events. *
1st Preference Phone Number to be contacted at (please indicate whether it is a cell, home, or work number, and who it belongs to) *
2nd Preference Phone Number to be contact at (if there isn't one, you can leave blank.)
How would you prefer to be contacted? *
Required
Student allergies or any medical information we should be aware of:
What is your preferred method of payment for lessons? *
Previous Experience and Teachers?
Interested in... *
A copy of your responses will be emailed to the address you provided.
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