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Registration Form
We look forward to hearing from you
Complete the required fields and share your responses with us.
Student's Name
*
Date of Birth
*
Gender
*
Male
Female
Contact Email Address
*
Parent's Name (If applicable)
Physical Address
Student Type
*
Child
Teenager
Adult
Student Grade (If applicable)
What lesson are you interested in?
*
Please Select
Piano
Violin
Voice
Cello
Guitar
Chamber Music
Will you be taking the lesson in person or online?
*
Select...
In-Person
Virtual
Lesson Length
*
Please Select
30 mins
45 mins
60 mins
Will decide after consultation
Preferred Teacher
Select...
Dr. Szu-Ying Huang
Ms. Zoe Lee
Do you need class materials? These can be provided at a cost of $30.00
*
Yes
No
Please list out any prior experience.
Any special needs we should be aware of?
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