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Gambit Music Academy - Private Lesson Registration
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Email
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Your email
Student Full Name
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Birthdate
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MM
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DD
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YYYY
Parent Name (if applicable)
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Address
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Phone Number
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Desired Instrument
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Guitar
Piano
Violin
Voice
Ukelele
General Music for Young Beginners
Length of lesson preferred
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30 minutes
45 minutes
60 minutes
Duration of lessons
4 weeks
12 weeks
26 week
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Let us know what days and times are the best for you and we will do our best to work around your schedule!
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How did you hear about us?
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Communmity Voice
Word of mouth
Other:
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Let us know of any other special requirements or information!
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