Southern California Music School

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Lesson Registration

Newsflash

PRIVATE LESSONS FOR ALL INSTRUMENTS AND ALL AGES
THROUGHOUT SOUTHERN CALIFORNIA

Take Lessons from some of the best Instructors around!
Our Instructors are qualified, hold degrees and have extensive teaching experience.
We carefully screen our teachers and we represent only the best!

Lesson Registration

Please Complete and Submit this Form.
We will contact you shortly to confirm schedule and teacher availability.
Thank You!

Student First Name:

Student Last Name:

Age Group:

Contact Information:

Parent Name:

Street Address:

City:

State:

ZIP:

Tel:

Tel 2:

Email:

Instrument(s):

Lesson Day: First Choice:

Preferred Time of Day:

Lesson Day: Second Choice:

Preferred Time of Day:

How Did You Hear Abou Us?:

Name of Referrer:

Send me a copy

Required field

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