1. Full Name: 2.E-mail: 3. Contact: 4.Student’s Name 5.Age of Student 6. Instrument or Program of Interest: 7. Level of Musical Experience:(Beginner/Intermediate/Advanced/Not sure) 8. Preferred Schedule:(Weekdays/Weekend) 9. Additional Questions of comments: 10. How did you hear about Melody & Joy?: (Frieds/Social Media/Other)

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