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Instrument Lesson Intake Form
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Student First Name
*
Your answer
Student Last Name
*
Your answer
Student Birthday
MM
/
DD
/
YYYY
Contact Email
*
Your answer
Instrument
*
Choose
Piano
Voice
Violin
Viola
Cello
Bass
Percussion
Trumpet
Flute
Oboe
Clarinet
Trombone
Guitar
Ukulele
Experience
*
Beginner (no experience)
Early Intermediate (1-3 years)
Intermediate (3-5 years)
Early Advanced (6-9 years)
Advanced (10+)
Other:
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