Student's Name *

First Name

Last Name

Parent or Primary Contact Name

First Name

Last Name

Phone *

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What would you like to learn? *

Piano (Mondays, Wednesdays, and Thursadys)

Organ (Mondays, Wednesdays, and Thursdays)

Violin (Mondays, Wednesdays, and Thursdays)

Viola (Mondays, Wednesdays, and Thursdays)

Cello (Mondays, Wednesdays, and Thursdays)

Voice (Mondays and Tuesdays)

Saxophone or Clarinet (Mondays only)

Guitar (Thursdays only)