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Academy Trial Private Lessons Registration Form
TRIAL PRIVATE LESSON REGISTRATION FORM
First name:
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Last name:
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Age:
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Telephone:
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Email Address:
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Address:
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City:
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State:
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Zipcode:
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Trial Lesson Option
Please choose from below
One-30 Min (Ages 3-8)Trial Lesson $49
One-45 Min (Ages 9-Adult)Trial Lesson $49
*
Please choose from service below
Please choose from below
Private Singing Lessons
Private Acting Lessons
Both Singing and Acting
Choice #1-Please let us know your Preference.
Please choose from below
Monday-10am-2pm Slots
Tuesday-10am-2pm Slots
Wednesday-10am-2pm Slots
Thursday-10am-2pm Slots
Friday-10am-2pm Slots
Saturdays-12pm-4pm Slots
Choice #2-Please let us know your Preference.
Please choose from below
Monday-10am-2pm Slots
Tuesday-10am-2pm Slots
Wednesday-10am-2pm Slots
Thursday-10am-2pm Slots
Friday-10am-2pm Slots
Saturdays-12pm-4pm Slots
Choice #3-Please let us know your Preference.
Please choose from below
Monday-10am-2pm Slots
Tuesday-10am-2pm Slots
Wednesday-10am-2pm Slots
Thursday-10am-2pm Slots
Friday-10am-2pm Slots
Saturdays-12pm-4pm Slots
How did you hear about us?
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Our Brochure
Post Card
Local Newspaper Ad
Telephone Call
E-News Letter
Internet Search
Weblink
Word of Mouth
Google
Yahoo
Other
Goal(s)/Objective(s) for the Private Lessons(s)?
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