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Angela Buckley Music
Contact Form 2020-21
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Email
*
Your email
Student First Name
*
Your answer
Student Surname
*
Your answer
Student Date of Birth
*
MM
/
DD
/
YYYY
Do you have a working keyboard and/or a tuned piano at home?
Yes
No
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Parent/Guardian Phone No.
*
Your answer
Do you have an internet connection?
*
Yes
No
Are you interested in
*
Buddy Lessons (Ages 8+, 60 min)
Solo Lessons (Ages 8+, 45 min)
Buddy Lessons (Ages 7 and under, 40 min)
Solo Lessons (Ages 7 and under, 30 mins)
Keyboard Katapult (Ages 8+, Group)
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