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Uptown Music Lessons
Music Lessons Contact Form
Your Name
*
First
Last
Email
*
Phone Number
*
Student Name (If different from above)
*
Student Age
*
Instrument(s)
*
Guitar
Piano
Drums/Percussion
Clarinet
Saxophone
Trumpet
Harmonica
Violin
Mandolin
Ukulele
Bass Guitar
Other
Please describe the student's experience with the instrument(s) or music in general.
*
Lesson Duration
*
30 minutes
45 minutes
60 minutes
Other
Weekly Availability (Mon-Fri)
*
What is the student's weekly availability? Please also let me know if you may be interested in online lessons (via Skype or Google Hangouts) or group lessons.
* Lessons may be scheduled between 9am to 8pm, subject to availability.
I can't schedule lessons on the weekend at this time.
How did you learn about Uptown Music Lessons? (Please check all that apply)
*
TakeLessons
Groupon
Craigslist ad
Flier/poster
Online search
Facebook/Twitter
Referred by someone
Other
Any Other Comments?
*
Submit
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