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Lesson Enquiry
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Email
*
Your email
Name of Student
*
Your answer
Preferred Name/Pronouns
Your answer
D.O.B of Student
*
MM
/
DD
/
YYYY
Parent/Guardian Name (If under 18)
Your answer
Contact Phone Number
*
Your answer
Contact Email
*
Your answer
Previous Experience
*
Your answer
Lesson Length/Instrument
30min
45min
60min
Other
Vocal Lessons
Vocal Coaching (industry coaching)
Piano (up to Intermediate)
Violin (up to intermediate)
30min
45min
60min
Other
Vocal Lessons
Vocal Coaching (industry coaching)
Piano (up to Intermediate)
Violin (up to intermediate)
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Preferred Day/Time.
(Please select multiple as your desired time may not be available)
9-11am
11am-1pm
1-3pm
3-5pm
5-7pm
7-9pm
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
9-11am
11am-1pm
1-3pm
3-5pm
5-7pm
7-9pm
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Are you enquiring for in person or online lessons?
*
In Person
Online
Please let me know if there are any medical conditions/allergies/sensitivities that I may need to be aware of, in order to support your learning environment.
Your answer
Additional Comments
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Where did you find out about Kallysion Voice Studio?
Facebook
Google Search
NZ Music Teachers Association
NEWZATS
Flyer/Business Card
Newspaper AD
Word of Mouth
Business Card
Other:
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