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Musician's First Name
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Instrument
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Years Playing Instrument
Parent's Full Name
Street Address
Apt. Num.
City
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Zip Code
Phone Number
Cell Number
Email Address
Date of Birth
Format: MM/DD/YYYY such as 03/29/2001
School
School Grade
Do you participate in your school's music program?
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no
Do you currently take private music lessons?
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Private Teacher's Name
Private Teacher's Email
How did you hear about us?
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friend
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Please list other instruments you play
Please list the latest three books you have been practicing with
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