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Lessons Interest Form
First Name*
Last Name*
What is the student's name?*
Email*
Phone*
Preferred Contact Method*
Phone
Email
Do you currently play any instruments?*
Yes
No
List below any instruments you currently play.
List any instruments you would be interested in playing.*
Which day(s) would be best for a lesson? (Monday thru Saturday)*
Preferred Lesson Time
3:00
3:30
4:00
4:30
5:00
5:30
6:00
7:00
7:30
Do you have any questions or concerns for The Band Shoppe?
Repeat Email Address