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Student Registration Form

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Student First Name

Last Name

Parents Name

Email

Phone Number

Student Age

Would you like to attend lessons at the teacher's home studio or at your home? *

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Teacher Studio

Either

Do you have a piano or keyboard at home where you can practice?

Would you like to take AMEB exams? *

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Prefered Days / Times / Length for lessons

Summarize your musical background, including any prior training in piano, other instruments, or voice.

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