Child's Name
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Child's Birthday
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Child's 2024-25 Grade
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6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Child's 2024-25 School
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Guardian's Full Name
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Guardian's Email
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Guardian's Phone Number
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Guardian's City of Residence
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Previous Music Experience (Check All That Apply. No Experience Required!)
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Chorus Ensemble
Individual Voice Lessons
Instrumental Ensemble
Individual Instrumental Lessons
School Music Classes
No Previous Experience
How Many Years of Experience?
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No Experience Yet
1 Year
2 Years
3 Years
4 Years
5+ Years
Which Lesson(s) Are You Interested In? (Check All That Apply.)
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Private Voice
Piano Lessons
Flute Lessons
Clarinet Lessons
Saxophone Lessons
Trumpet Lessons
Percussion Lessons
How Did You Hear About Us? (Check All That Apply)
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Word of Mouth
Live Performance
Social Media
WMC Website
Google/Search Engine
Printed Media
Other
Anything Else We Should Know?
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