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NEW STUDENT Trial LESSON
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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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Select One
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Option 1 - 30 Minutes First Trial Lesson, $60_Recommended.
Option 2 - 20 Minutes First Trial Lesson, $53
After the First Initial Paid Lesson, we will simply proceed accordingly from there. :-)
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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How Did You Hear of Cheryl Teach Music?
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Preferred Method of Payment
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Venmo
Credit Card
Cash App
PayPal.Me
Snail Mail
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