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PRIVATE LESSONS INTEREST FORM

STUDENT INFORMATION

If student is under the age of 18, phone and email are optional

Please select your choice of lesson(s):

Please select as many options as you wish.

Is this the first time the student has taken private lessons at Renaissance PAC?

Is this the first time the student has taken piano lessons?
Yes
No

If the student has taken private lessons before, please describe their experience in prior lessons.

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