Private/Semi-Private Lesson Inquiry

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Student Name *

Student's Age *

Have you taken private lessons with us before?

Yes

With what instructor?

Student Levels (If unsure list abilities)

Reason for inquiry

Language Preference

Instructor Gender Preference

Male

Female

Are there any circumstances we need to be aware of to properly match the student with an instructor?

Preferred Start Date

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Number of Lessons Per Week

Type of Lesson?

Private

Semi-Private

List names of other participant(s)

Preferences (please list times of availability)

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Contact Information

Your Email

Phone Number *

Name *

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