Student Registration Form

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Student Registration Form

Thank you for considering Queen City Music Studios to help you with the next steps on your musical journey! Please review and fill out this form so we can best help match you with a teacher who is the best fit for your ability, availability, and musical goals.

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* Indicates required question

Email Address: *

Your answer

Student's Name:
*

Your answer

Age (if under 18):

Your answer

Student's preferred pronouns:

She/Her

He/Him

They/Them

Clear selection

Parent/Guardian Name (if applicable):

Your answer

Phone:
*

Your answer

Second Parent/Guardian's Name (if applicable):

Your answer

Second Parent/Guardian's Phone (if applicable):

Your answer

Next

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