Lesson Inquiry

Please complete the form below.
The information you provide will not be published and will be kept confidential.

Session(required) Regular (September through June) Other

If you entered "Other" above, please specify the lesson duration your's hoping for.

Are you inquiring for yourself or someone else?

Myself Someone else

Lesson Type(required)

Group – Music Foundations Individual – Piano

Student's Name(required)

Student's Age(required)

Number of years of music study and on what instrument(s)? (required)

Preferred Lesson Time

If you are an adult student, please type “n/a” for the next two questions.

Parent/Guardian Name(required)

Parent/Guardian Email(required)

How did you hear about Myrtle's Music Room? Search Engine Friend or Family

Other comments or questions:

I’ll be in touch soon, via e-mail, regarding your inquiry. Thanks for contacting me!

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