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Summer Lessons Form
Music Lesson: Open Every Three Months- After Initial Trial Lesson, Three Month Commitment
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Email
*
Your email
Lesson/Session Type- All Sessions/Lessons are student centered
*
Standard/Typical Lesson
Adapted Lesson
Name of Parent
*
Your answer
Phone Number
*
Your answer
Name of Student
*
Your answer
Students Age- Music Lesson recommended age is 5&Up
*
Your answer
School
*
Home schooled
Standard School Schedule
Instrument (Lesson Only)
Electronic Drumset- (used for easily controlled volume levels)
Piano- Waiting List Only
Ukulele- Waiting List Only
Acoustic Guitar- Waiting List Only
Previous Student of the Treble Makers?
*
Yes
No
Best Day(s) of the Week for Lessons?
*
Monday
Tuesday
Wednesday
Thursday
Friday
Required
Does child have any special needs/adaptations?
*
Your answer
Comments/Questions?
Your answer
Send me a copy of my responses.
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