Conservatory New Student Inquiry 
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Email *
First and last name of Parent/ Guardian or Adult applicant
 *
First and last name of Youth Applicant or "Adult" *
Age of Student or "Adult" *
Phone Number
Perkins Location *
Instrument *
Required
Level *
Desired Lesson Length *
Where did you study previously? (N/A if no experience) *
#1 Available Day & Time-frame *
#2 Available Day & Time-frame *
How did you hear about Perkins? *
Anything else you'd like to share?
A copy of your responses will be emailed to the address you provided.
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