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Private Lessons
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Music Together (family music class)
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1 - Application Form
2 - Registration Form
3 - Client Agreement
4 - Intake Form
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*Please only register if your application is approved, your spot is secured and you are instructed to do so!
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Parent or Guardian 1
First and last name
Phone
Email
Address
Parent or Guardian 2
First and last name
Phone
Address (if different)
Child 1
First and last name
Instrument/s
Birthday
Gender
Male
Female
Other
Any allergies, health conditions or medications I should be aware of?
Any behavioural differences or learning challenges I should be aware of?
Child 2 (optional)
First and last name
Instrument/s
Birthday
Gender
Male
Female
Other
Any allergies, health conditions or medications I should be aware of?
Any behavioural differences or learning challenges I should be aware of?
Emergency contact
First and last name
Phone
Relationship
Anything you would like me to know?
Submit
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