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Individual Lesson Registration Form

Name: __________________________________

Address:________________________________

Phone Number: __________________________

Email Address: __________________________

Instrument: _____________________________

Do you own your own instrument? ____________

Have you ever taken lessons before?__________

If so when? _____________________________

For How Long? ___________________________

Best Days for Lessons: _____________________

Best Times for Lessons: ____________________

What do you want from taking lessons? ________________________________________

________________________________________

You may email this to me or mail it to me .

email: alwaysmoremusic@yahoo.ca

address: 18 Glendale Dr Tillsonburg ON N4G 1J2