COMMUNITY MUSIC INTEREST FORM

Private lessons are currently available in the areas of piano, jazz piano, voice, brass, woodwinds and, strings. If there are no current openings, you will be notified and placed on a waiting list. For questions and availability, please complete the form below or contact Kathy at 218-726-7011 or klaplant@d.umn.edu. Thank you for your interest in Community Music Lessons.

Parent's Name:				(First and Last Name)
Full Name of Student:
Student's relationship to you:
Age of student:
Address (Street City, State Zip):
				(Area code + number)
Phone:
Email Address:
Interested in lessons for:
Violin	Viola	Guitar		Cello	Flute	Clarinet	Sax	Piano	Voice
Other:
Describe any experience student has had playing an instrument:

Comments:
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