Private Lesson Registration Form
Name: __________________________________
Address:________________________________
______________________________________________________________
Phone Number: __________________________
E-mail Address: __________________________
Instrument: _____________________________
Do you own your own instrument? ____________
Have you ever taken lessons before?__________
If so when? _____________________________
For How Long? ___________________________
Best Days for Lessons: _____________________
Best Times for Lessons: ____________________
What do you want from taking lessons? ________________________________________
________________________________________
You may e-mail this to me or mail it to me .
e-mail: alwaysmoremusic@yahoo.ca
address: 18 Glendale Dr
Tillsonburg ON N4G 1J2
