Music School Application Form

Music School Application Form

Please fill out the following form to register for music lessons.

Applicant Information

Name

    Date of Birth

      Email

        Phone Number

          Address

            Music Lesson Preferences

            Instrument

              • Piano

              • Guitar

              • Violin

              Experience Level

                Preferred Lesson Days

                Select all that apply

                  • Monday

                  • Tuesday

                  • Wednesday

                  • Thursday

                  • Friday

                  • Saturday

                  • Sunday

                  Emergency Contact

                  Name

                    Relationship

                      Phone number

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