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Trial Lesson Form
Tell us a bit more so we can find a lesson time that works for you!
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* Indicates required question
Student's Name
*
Your answer
Student's Birthdate
*
MM
/
DD
/
YYYY
Parent/Guardian Full Name
*
Your answer
Phone Number
*
Your answer
Email
*
Your answer
Our music studio is located in the East end of London. Are you interested in at studio, at home or online lessons?
*
in studio
at home
online
Required
Instrument
*
Choose
Violin
Viola
Music & Rhythm Class (age 4 and under)
Composition (age 10 and up)
Do you have an instrument already? Tell us a little about it.
*
Your answer
Indicate DAYS and TIMES you are available for a weekly lesson.
Morning
Afternoon
Evening
Monday
Tuesday
Wednesday
Thursday
Friday
Morning
Afternoon
Evening
Monday
Tuesday
Wednesday
Thursday
Friday
Postal Code
*
Your answer
How did you hear about us?
*
Your answer
Trial lessons are free, but we will require your credit card information to secure the spot. There is a $20 charge for trial lessons cancelled with less than 24 hours notice. We will contact you with details.
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Yes, I understand.
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