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Private Lesson Registration
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Student's Name
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Parent's Name (if applicable)
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Parent's name (continued, if applicable)
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Any other adult who will be involved in drop off/pickup
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Address
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Phone Number
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Phone Number
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Whose phone number?
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Cell
Home
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Email
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Primary
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I prefer to be contacted via:
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Email
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Student's birthday
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Student's grade in school 2022-2023
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I am interested in (choose all that apply):
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Piano lessons
Voice lessons
Music Theory lessons
Ukulele class (not yet scheduled)
Vocal ensembles (not yet scheduled)
Drumming class (not yet scheduled)
Are you using an Epic Charter Schools activity fund to pay for lessons?
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Lesson times
Please select all times that work for your schedule. All the times listed are currently available. Contact me at almamusicstudio@gmail.com to get on the
wait list for after school lesson times.
Tuesdays lesson times
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10:00 am
10:30 am
11:00 am
11:30 am
12:00 pm
12:30 pm
1:00 pm
1:30 pm
2:00 pm
2:30 pm
3:00 pm
Wednesday lesson times
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10:00 am
10:30 am
11:00 am
11:30 am
12:00 pm
Thursday lesson times
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10:00 am
10:30 am
11:00 am
11:30 am
12:00 pm
12:30 pm
1:00 pm
1:30 pm
2:00 pm
2:30 pm
3:00 pm
Student's previous music experience
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What else does Renee need to know to help your child have a positive lesson experience? Please include information about allergies, special needs, or anything that might help me serve your family better.
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