Private Lesson Interest FormĀ 
Please fill out this form to enroll your student in private lessons or to receive more information about lessons.
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Email *
Student last name
Student first name *
Student Email *
Student's grade *
What band class is your student enrolled in? *
What is your child's instrument? *
Select from the following: *
My student is already taking lessons from:
Parent Name *
Parent email *
Parent phone *
I would be interested in applying for financial assistance for lessons when it become available.
A copy of your responses will be emailed to the address you provided.
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