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Amy Cooley 
Call / Text: 931-434-6860 
Email:   musicwithamycooley@gmail.com
WebSite:   www.MusicWithAmy.com
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Questions or comments.
Student Full Name and Age
Parent(s) name (if student is a minor)
Best Contact Phone Number(s)
Best Email Address(es)
What type of lessons is the student wanting to take? Check all that apply.
What type of lessons are you interested in? (check all that apply)
What, if any, musical experience do you have?
What do you hope to accomplish with lessons?  Do you have any personal goals?  Tell me anything I should know about you! :)
What days and times work for your schedule? (example: weekdays, mornings, Tuesdays only, afternoon, any day except Friday, etc)
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