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NEW STUDENT FIRST VISIT - INITIAL FIRST LESSON ONLINE
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Indicates required field
Prospective Student's Name
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First
Last
If more than one student, please fill out a second form. Thank you!
Contact Person - if student is under 18 years old
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First
Last
Mom, Dad, Grandma, Grandpa, Other, Please Specify?
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Email
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Cell Number
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Home Number
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How Did You Hear of Cheryl Teach Music?
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Age of Student & Name of School
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Instrument(s) ?
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Currently playing? Wish to play?
Experience Level - Choose One
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More Experienced
Some Experience
New Beginner
Vocal
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Yes
No
Musical Goals & Comments
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Preferred Days / Dates / Times
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Select One Answer. Click on the Arrow to Choose.
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Option 1 - 30+ Minutes Initial First Lesson, $60 - Recommended.
Option 2 - 20+ Minutes Initial First Lesson, $52
After the First Initial Paid Lesson, we will simply proceed accordingly from there. :-)
Select Form of Payment
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Option 1. Venmo
Option 2. Cash App
Option 3. Credit Card
Option 4. Send Check
Choose your form of payment, then separately click on the method to efficiently and easily pay. Thank you
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